本文關(guān)鍵詞： 腹腔鏡 腸梗阻 腸梗阻導(dǎo)管　出處：《中國微創(chuàng)外科雜志》2017年04期 　論文類型：期刊論文

【摘要】：目的探討腹腔鏡治療小腸不全梗阻的可行性及臨床效果。方法回顧性分析2011年1月~2016年1月85例腸梗阻資料。5例因腹腔束帶粘連導(dǎo)致梗阻,腹腔鏡下切斷束帶解除梗阻;75例因小腸與小腸、腹壁、盆腔粘連、成角導(dǎo)致梗阻,腹腔鏡下分離粘連、成角解除梗阻;3例探查發(fā)現(xiàn)闌尾炎導(dǎo)致梗阻,行闌尾切除術(shù);2例因腸腔異物導(dǎo)致梗阻,腹腔鏡下取出異物。腹脹明顯者術(shù)前留置腸梗阻導(dǎo)管減輕腹脹。結(jié)果除2例局部粘連廣泛、致密做小切口輔助手術(shù)切除部分腸管行端端吻合外,均在腹腔鏡下完成,無并發(fā)癥發(fā)生。術(shù)后隨訪3~60個月,平均35個月,未見梗阻癥狀復(fù)發(fā)。結(jié)論腹腔鏡治療小腸梗阻是可行的,具有切口小、創(chuàng)傷輕、恢復(fù)快、術(shù)后住院時間短等微創(chuàng)特點,避免開腹手術(shù)造成的創(chuàng)傷。
[Abstract]:Objective to investigate the feasibility and clinical effect of laparoscopic treatment of incomplete intestinal obstruction. Methods the data of 85 cases of intestinal obstruction from January 2011 to January 2016 were retrospectively analyzed. The obstruction was relieved by transection of the band under laparoscope. In 75 cases, obstruction was caused by adhesion of small intestine and small intestine, abdominal wall and pelvic cavity. In 3 cases, appendicitis was found to cause obstruction and appendectomy was performed. Foreign bodies were removed by laparoscope in 2 cases due to foreign bodies in the intestinal cavity. The patients with obvious abdominal distention were treated by indwelling intestinal obstruction catheter before operation to alleviate abdominal distention. Results the local adhesion was extensive in 2 cases. The end-to-end anastomosis of small incision was performed under laparoscopy and no complication occurred. The follow-up was 3 ~ 60 months (mean 35 months). Conclusion Laparoscopy is feasible for the treatment of small intestinal obstruction, which has the characteristics of small incision, light trauma, quick recovery, short hospital stay after operation and so on, to avoid the trauma caused by open operation.
【作者單位】： 吉林省前衛(wèi)醫(yī)院普外科;長春醫(yī)學(xué)高等�？茖W(xué)校;
【分類號】：R656.7
【正文快照】： 小腸梗阻是由于各種原因?qū)е履c內(nèi)容物不能順利通過腸道引起腸管形態(tài)和功能上發(fā)生改變,產(chǎn)生一系列臨床癥狀及病理、生理改變,嚴(yán)重時可危及生命。傳統(tǒng)的開腹手術(shù)后腸梗阻復(fù)發(fā)風(fēng)險高。2011年1月~2016年1月,我院應(yīng)用腹腔鏡治療小腸不全梗阻85例,治療效果滿意,現(xiàn)報道如下,并就相關(guān)，

本文編號：1450591