腹腔镜手术治疗肠梗阻的临床效果分析

赵利强

[摘要] 目的 观察探讨采用腹腔镜手术治疗肠梗阻的临床效果。 方法 方便选取2017年8月—2018年9月期间在该院治疗的肠梗阻患者70例作为临床研究对象，根据不同的治疗方法将所有患者平均分成各35例的两组，给予观察组腹腔镜手术治疗，给予对照组传统开腹手术治疗，总结两组患者的临床治疗效果和各项手术指标。 结果 观察组患者的治疗总有效率80.00%与对照组57.14%相比较更高，观察组患者的术中出血量为（39.59±6.09）mL、手术时间为（55.58±12.18）min、住院时间为（5.56±1.18）d;对照组的术中出血量为（156.56±25.18）mL、手术时间为（98.56±20.59）min、住院时间为（10.25±4.57）d。观察组各项指标均低于对照组，两组疗效比较结果差异有统计学意义（t=26.712 6，8.972 0， 5.878 6，P<0.05）。 结论 对肠梗阻采用腹腔镜手术治疗的手术质量高，患者术后出现的并发症少，该病再次发作的概率降低，有比较高的临床应用价值。

[关键词] 腹腔镜手术治疗;肠梗阻;急腹症;临床观察

[中图分类号] R656          [文獻标识码] A          [文章编号] 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

肠梗阻是外科常见的一种急腹症，是指患者的肠道出现通过障碍，患者会有腹痛、腹胀、恶心、排气排便不畅的临床症状，严重者甚至会出现肠道血运不畅，局部肠管组织坏死从而诱发死亡[1]。病因比较复杂且起病和变化比较快。临床上对于该病多数采用手术治疗，作为微创手术的腹腔镜手术对患者机体造成的损伤小、手术时间短等特点，该文方便选取70例于2017年8月—2018年9月期间该院收治的肠梗阻患者作为研究对象，对这种治疗方式的效果进行探讨并将内容如下报道，现报道如下。

1  资料与方法

1.1  一般资料

方便选取70例该院收治的肠梗阻患者作为临床研究对象，根据治疗方式的不同平均分成各35例的观察和对照组。观察组各有男女患者20例和15例，患者最大年龄为60岁，最小年龄20岁，平均年龄范围（45.6±0.1）岁;对照组男女患者各占17例和18例，患者的大致年龄范围为20～59岁，年龄平均范围（45.0±0.1）岁。该次实验中两组患者的年龄、性别、数量等临床一般资料经过比较后差异无统计学意义（P>0.05），具有可比性。