【摘要】 目的探讨腹腔镜松解粘连性肠梗阻的效果。方法回顾性分析中国医科大学附属第二医院自1999~2005年因粘连性肠梗阻行腹腔镜松解术23例的临床资料。结果病人均治愈。术中平均出血量10mL,术后平均住院时间4d,术后无并发症,随访至今无复发。结论腹腔镜肠粘连松解术创口小、腹膜创面少、操作轻柔、腹腔干扰少,能较大限度地减少术后腹腔内再粘连,为粘连性肠梗阻的外科治疗提供了一种新方法。更多还原

【Abstract】 Objective This study assessed the clinical outcome and efficacy of laparoscopic adhesiolysis for adhesive small bowel obstruction.Methods A retrospective study was performed to analyse the results of the laparoscopic approach for small-bowel obstruction of 23 adults and children in terms of efficacy and safety.Results All patients were cured perfectly.The mean blood loss in the operation was 10 ml and the mean hospital stay was 4 days.There was no post-operative complication and no recurrence of small bowel obstructionin in the follow-up study.Conclusion Laparoscopic adhesiolysis has the merits of minimal invasion,less injury to the peritoneum,less disturbs to the abdominal cavity and can reduce the chance of post-operation readhesion mostly.Laparoscopic adhesiolysis is a safe and effective treatment for small bowel obstruction and should be used more widely.更多还原