腹腔鏡手術(shù)治療腸梗阻的臨床效果分析

趙利強(qiáng)

[摘要] 目的 觀察探討采用腹腔鏡手術(shù)治療腸梗阻的臨床效果。 方法 方便選取2017年8月—2018年9月期間在該院治療的腸梗阻患者70例作為臨床研究對(duì)象，根據(jù)不同的治療方法將所有患者平均分成各35例的兩組，給予觀察組腹腔鏡手術(shù)治療，給予對(duì)照組傳統(tǒng)開(kāi)腹手術(shù)治療，總結(jié)兩組患者的臨床治療效果和各項(xiàng)手術(shù)指標(biāo)。 結(jié)果 觀察組患者的治療總有效率80.00%與對(duì)照組57.14%相比較更高，觀察組患者的術(shù)中出血量為（39.59±6.09）mL、手術(shù)時(shí)間為（55.58±12.18）min、住院時(shí)間為（5.56±1.18）d;對(duì)照組的術(shù)中出血量為（156.56±25.18）mL、手術(shù)時(shí)間為（98.56±20.59）min、住院時(shí)間為（10.25±4.57）d。觀察組各項(xiàng)指標(biāo)均低于對(duì)照組，兩組療效比較結(jié)果差異有統(tǒng)計(jì)學(xué)意義（t=26.712 6，8.972 0， 5.878 6，P<0.05）。 結(jié)論 對(duì)腸梗阻采用腹腔鏡手術(shù)治療的手術(shù)質(zhì)量高，患者術(shù)后出現(xiàn)的并發(fā)癥少，該病再次發(fā)作的概率降低，有比較高的臨床應(yīng)用價(jià)值。

[關(guān)鍵詞] 腹腔鏡手術(shù)治療;腸梗阻;急腹癥;臨床觀察

[中圖分類(lèi)號(hào)] R656? ? ? ? ? [文獻(xiàn)標(biāo)識(shí)碼] A? ? ? ? ? [文章編號(hào)] 1674-0742（2019）05（b）-0075-03

[Abstract] Objective To investigate the clinical effect of laparoscopic surgery for intestinal obstruction. Methods 70 patients with intestinal obstruction treated in our hospital from August 2017 to September 2018 were convenient selected as clinical subjects. All patients were divided into two groups of 35 patients according to different treatment methods. Laparoscopic surgery was performed in the observation group， the treatment group was given traditional open surgery， summed up the clinical treatment effect and various surgical indicators of the two groups of patients. Results The total effective rate of treatment in the observation group was 80.00% higher than that in the control group （57.14%）. The intraoperative blood loss was （39.59±6.09）mL， the operation time was （55.58±12.18）min， and the hospitalization time was （5.56±1.18）d. The intraoperative blood loss of the control group was （156.56±25.18）mL， the operation time was （98.56±20.59）min， and the hospitalization time was （10.25±4.57）d. The indexes of the observation group were lower than the control group， and the results of the two groups were significantly different （t=26.712 6， 8.972 0， 5.878 6， P<0.05）. Conclusion The quality of laparoscopic surgery for intestinal obstruction is high. The postoperative complications are few， the probability of recurrence of the disease is reduced， and it has a high clinical value.

[Key words] Laparoscopic surgery; Intestinal obstruction; Acute abdomen; Clinical observation

腸梗阻是外科常見(jiàn)的一種急腹癥，是指患者的腸道出現(xiàn)通過(guò)障礙，患者會(huì)有腹痛、腹脹、惡心、排氣排便不暢的臨床癥狀，嚴(yán)重者甚至?xí)霈F(xiàn)腸道血運(yùn)不暢，局部腸管組織壞死從而誘發(fā)死亡[1]。病因比較復(fù)雜且起病和變化比較快。臨床上對(duì)于該病多數(shù)采用手術(shù)治療，作為微創(chuàng)手術(shù)的腹腔鏡手術(shù)對(duì)患者機(jī)體造成的損傷小、手術(shù)時(shí)間短等特點(diǎn)，該文方便選取70例于2017年8月—2018年9月期間該院收治的腸梗阻患者作為研究對(duì)象，對(duì)這種治療方式的效果進(jìn)行探討并將內(nèi)容如下報(bào)道，現(xiàn)報(bào)道如下。

1? 資料與方法

1.1? 一般資料

方便選取70例該院收治的腸梗阻患者作為臨床研究對(duì)象，根據(jù)治療方式的不同平均分成各35例的觀察和對(duì)照組。觀察組各有男女患者20例和15例，患者最大年齡為60歲，最小年齡20歲，平均年齡范圍（45.6±0.1）歲;對(duì)照組男女患者各占17例和18例，患者的大致年齡范圍為20～59歲，年齡平均范圍（45.0±0.1）歲。該次實(shí)驗(yàn)中兩組患者的年齡、性別、數(shù)量等臨床一般資料經(jīng)過(guò)比較后差異無(wú)統(tǒng)計(jì)學(xué)意義（P>0.05），具有可比性。