【摘要】 为探讨腹腔镜手术对粘连性肠梗阻患者胃肠动力的影响,将粘连性肠梗阻患者62例按照手术方法不同分为观察组28例和对照组34例。观察组采用腹腔镜手术治疗,对照组采用传统开腹手术治疗,比较2组患者的手术情况、胃肠动力指标及术后并发症发生率。结果显示,观察组患者术中出血量明显少于对照组(P <0.05);手术时间、住院时间均短于对照组(P <0.05);观察组患者术后胃泌素、胃动素水平高于对照组(P <0.05);观察组肛门排气时间、肠鸣音恢复时间均短于对照组(P <0.05);观察组术后并发症发生率为7.14%,明显低于对照组的29.41%(P <0.05)。结果表明,腹腔镜手术可以改善粘连性肠梗阻患者的胃肠动力,缩短手术时间、住院时间,降低术后并发症发生率。更多还原

【Abstract】 This study was to investigate the influence of laparoscopic surgery on the gastrointestinal dynamics of adhesive intestinal obstruction(AIO)patients,according to different procedure on patients divided 62 cases into observation group(28 cases,received laparoscopic surgery)and control group(34 cases,routine open surgery);then,compared both groups’ operation status,gastrointestinal dynamics norms,and postoperative complication incidence.As results,in intraoperative bleeding volume;in the time of operating,and of hospitalization;in the levels of postoperative gastrin and motilin;in the time of flatus and of bowel sound recovered;and,in postoperative complication incidence observation group was respectively and significantly less,shorter,higher,shorter,and lower(7.14% vs 29.41%)than control group(all,P <0.05).Results show that for AIO laparoscopic surgery can improve patients’ gastrointestinal dynamics,shorten operating time and hospitalization time,and decline incidence of postoperative complication.更多还原