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目的探讨腹腔镜下松解术治疗急性粘连性肠梗阻的效果及对并发症的影响。方法选取2012年9月—2015年9月梁平县人民医院收治的118例急性粘连性肠梗阻患者,随机分为研究组和对照组,各59例。研究组采用腹腔镜下松解术治疗,对照组采用开腹手术治疗。比较两组患者治疗效果、手术时间、切口大小、失血量等手术指标及并发症发生情况。结果两组患者治疗效果、手术时间比较,差异无统计学意义(P>0.05),研究组切口小于对照组,术中出血量少于对照组,术后住院时间短于对照组,并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论腹腔镜下松解术治疗急性粘连性肠梗阻的效果好,可以促进患者术后康复并减少并发症。
Objective To investigate the effect of laparoscopic lymphadenectomy in the treatment of acute adhesive intestinal obstruction and its impact on the complications. Methods A total of 118 patients with acute adhesive intestinal obstruction admitted from September 2012 to September 2015 in Liangping County People’s Hospital were randomly divided into study group and control group, 59 cases in each group. The study group was treated by laparoscopic lysis and the control group by laparotomy. The curative effect, operation time, incision size, blood loss and other operation indexes and complication of the two groups were compared. Results There was no significant difference between the two groups in the treatment effect and operation time (P> 0.05). The incision in the study group was smaller than that in the control group. The blood loss in the operation group was less than that in the control group. The postoperative hospital stay was shorter than that in the control group. Complications The rate was lower than the control group, the difference was statistically significant (P <0.05). Conclusion Laparoscopic lysis for the treatment of acute adhesive intestinal obstruction has a good effect, which can promote postoperative recovery and reduce the complications.