趙利強

[摘要] 目的 觀察探討采用腹腔鏡手術治療腸梗阻的臨床效果。 方法 方便選取2017年8月—2018年9月期間在該院治療的腸梗阻患者70例作為臨床研究對象，根據(jù)不同的治療方法將所有患者平均分成各35例的兩組，給予觀察組腹腔鏡手術治療，給予對照組傳統(tǒng)開腹手術治療，總結兩組患者的臨床治療效果和各項手術指標。 結果 觀察組患者的治療總有效率80.00%與對照組57.14%相比較更高，觀察組患者的術中出血量為（39.59±6.09）mL、手術時間為（55.58±12.18）min、住院時間為（5.56±1.18）d;對照組的術中出血量為（156.56±25.18）mL、手術時間為（98.56±20.59）min、住院時間為（10.25±4.57）d。觀察組各項指標均低于對照組，兩組療效比較結果差異有統(tǒng)計學意義（t=26.712 6，8.972 0， 5.878 6，P<0.05）。 結論 對腸梗阻采用腹腔鏡手術治療的手術質(zhì)量高，患者術后出現(xiàn)的并發(fā)癥少，該病再次發(fā)作的概率降低，有比較高的臨床應用價值。

[關鍵詞] 腹腔鏡手術治療;腸梗阻;急腹癥;臨床觀察

[中圖分類號] R656? ? ? ? ? [文獻標識碼] A? ? ? ? ? [文章編號] 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

腸梗阻是外科常見的一種急腹癥，是指患者的腸道出現(xiàn)通過障礙，患者會有腹痛、腹脹、惡心、排氣排便不暢的臨床癥狀，嚴重者甚至會出現(xiàn)腸道血運不暢，局部腸管組織壞死從而誘發(fā)死亡[1]。病因比較復雜且起病和變化比較快。臨床上對于該病多數(shù)采用手術治療，作為微創(chuàng)手術的腹腔鏡手術對患者機體造成的損傷小、手術時間短等特點，該文方便選取70例于2017年8月—2018年9月期間該院收治的腸梗阻患者作為研究對象，對這種治療方式的效果進行探討并將內(nèi)容如下報道，現(xiàn)報道如下。

1? 資料與方法

1.1? 一般資料

方便選取70例該院收治的腸梗阻患者作為臨床研究對象，根據(jù)治療方式的不同平均分成各35例的觀察和對照組。觀察組各有男女患者20例和15例，患者最大年齡為60歲，最小年齡20歲，平均年齡范圍（45.6±0.1）歲;對照組男女患者各占17例和18例，患者的大致年齡范圍為20～59歲，年齡平均范圍（45.0±0.1）歲。該次實驗中兩組患者的年齡、性別、數(shù)量等臨床一般資料經(jīng)過比較后差異無統(tǒng)計學意義（P>0.05），具有可比性。