原创《腹腔镜粘连松解术治疗粘连性肠梗阻作用》：本文是一篇关于粘连性肠梗阻论文范文，可作为相关选题参考,和写作参考文献。
摘 要 目的：探讨腹腔镜粘连松解术治疗粘连性肠梗阻的作用.方法：收集2014年6月至2016年6月接诊的46例粘连性肠梗阻患者为观察组,行腹腔镜粘连松解术治疗,同时选择以往行传统开腹手术的40例粘连性肠梗阻患者的完整病历资料作为对照组,比较两组患者手术效果及随访6个月时的粘连复发率.结果：观察组手术总有效率为91.30%（42/46）,显著高于对照组的70.00%（28/40,P<0.05）.观察组肠鸣音恢复时间为（56.75±9.43）h,术后排气时间为（98.22±10.05）h,下床活动时间为（5.60±1.06）d,总住院时间为（6.88±1.14）d；对照组分别为（95.77±11.46）h、（138.97±12.41）h、（7.61±1.32）d和（9.26±1.20）d,组间差异有统计学意义（P<0.05）.观察组术后复发1例,显著低于对照组的5例（P<0.05）.结论：腹腔镜粘连松解术治疗粘连性肠梗阻治愈率高,患者术后恢复时间短,粘连复发率低,值得临床推广.
关键词 粘连性肠梗阻；腹腔镜粘连松解术；开腹手术
中图分类号：R574.2 文献标志码：A 文章编号：1006-1533（2017）16-0020-02
Effect of laparoscopic lysis of adhesions in the treatment of adhesive intestinal obstruction
LIU Liping, QI Tingjie, PENG Binghua, ZUO Wu
（Xingang Central Hospital of Xinyu, Xinyu 338000, Jiangxi Province, China）
ABSTRACT Objective： To investigate the effect of laparoscopic lysis of adhesions in the treatment of adhesive intestinal obstruction. Methods： From June 2014 to June 2016, 46 patients with adhesive ileus were selected as the observation group and treated with laparoscopic lysis of adhesions. At the same time, the complete medical records of 40 patients with adhesive intestinal obstruction who underwent traditional laparotomy were selected as the control group. The operative effect and recurrence rate of adhesion after 6 months were compared between the two groups. Results： The total effective rate of the observation group was 91.30%（42/46）, which was significantly higher than that of the control group 70% （28/40）（P<0.05）. The bowel sound recovery time was （56.75±9.43） h, postoperative exhaust time （98.22±10.05） h, ambulation time （5.60±1.06） d, and total hospitalization time （6.88±1.14） d of the observation group, those of the control group were （95.77±11.46） h, （138.97±12.41） h, （7.61±1.32） d and （9.26±1.20） d, and the differences were statistically significant（P<0.05）. The observation group had 1 case of recurrence, which was significantly lower than 5 cases that the control group had（P<0.05）. Conclusion： Laparoscopic lysis of adhesions in the treatment of adhesive intestinal obstruction has a high cure rate, the postoperative recovery time is short, and the recurrence rate of adhesions is low, which is worthy of clinical promotion.
KEY WORDS adhesive ileus； laparoscopic lysis of adhesions； open surgery
粘連性肠梗阻是发病率较高的一种急腹症,多因术后并发粘连所致,患者一般病情变化快恶性程度高,治疗不及时容易引发恶性后果[1].在治疗粘连性肠梗阻中,传统开腹手术因创伤大、术后粘连复发率高而逐渐被效果更佳的腹腔镜技术所替代[2].本文报道新余新钢中心医院开展腹腔镜粘连松解术治疗粘连性肠梗阻的临床优势,为相关研究提供参考.
1 资料和方法
粘连性肠梗阻论文参考资料：
结论：腹腔镜粘连松解术治疗粘连性肠梗阻作用为适合粘连性肠梗阻论文写作的大学硕士及相关本科毕业论文，相关粘连性肠梗阻如何治疗开题报告范文和学术职称论文参考文献下载。
