实用医学杂志2017，Vol.33Issue(2)：253-256,4.DOI:10.3969/j.issn.1006-5725.2017.02.023
腹腔镜技术在顽固性粘连性肠梗阻治疗中的应用
Application of laparoscopic technique in the treatment of refractory adhesive intestinal obstruction
卢新泉 1刁德昌 2熊文俊 2刘鹏飞 1李洪明 2邹瞭南 2万进2
作者信息
- 1. 510120 广州中医药大学第二附属医院 广东省中医院 胃肠外科
- 2. 510120 广州市，广东省中医院胃肠外科
- 折叠
摘要
Abstract
Objective To evaluate the efficacy and safety of laparoscopic technique in the treatment of refractory adhesive intestinal obstruction. Methods In a retrospective matched⁃pair analysis, 68 patients of re⁃fractory adhesive intestinal obstruction whose relapsed more than 3 times were included in the research. All patients were treated with laparoscopic operation or continued follow⁃up observation after conservative treatment from Janu⁃ary 2011 to January 2016. The patients were divided into 2 groups, laparoscopic surgery (32 cases) and observation group (36 cases), to contrast the recurrence rate and safety of the two types of treatment. Results The recurrence rate of laparoscopic surgery group was significantly lower in the observation group (18.8%vs. 77.8%, P<0.05). Re⁃fractory adhesive intestinal obstruction is further divided into Mixed type, Patchy adhesion type and Cable Belt Com⁃pression type, in the laparoscopic surgery subgroup analysis, hybrid recurrence rate (66.7%, 4/6 cases) was signifi⁃cantly higher than that of patchy adhesion type (10.0%, 1/10 cases) and cord compression type (6.3%, 1/16 cases). Conclusion Laparoscopic operation is safe and feasible in the treatment of refractory adhesive intestinal obstruc⁃tion, and then it can effectively reduce the recurrence rate of refractory adhesive intestinal obstruction;the curative effect is closely related to the type of adhesion.关键词
腹腔镜手术/顽固性/粘连性肠梗阻/病理类型Key words
Adhesive intestinal obstruction/Laparoscopic surgery/Refractory/Pathologic type引用本文复制引用
卢新泉,刁德昌,熊文俊,刘鹏飞,李洪明,邹瞭南,万进..腹腔镜技术在顽固性粘连性肠梗阻治疗中的应用[J].实用医学杂志,2017,33(2):253-256,4.
