腹腔镜在诊治粘连性肠梗阻中的应用
肠梗阻,,肠梗阻;腹腔镜;诊断;治疗结果,1资料与方法,2讨论,参考文献：
【摘要】 目的：探讨腹腔镜技术诊治粘连性肠梗阻的价值。方法：回顾分析粘连性肠梗阻10例患者行腹腔镜下粘连松解术的临床资料。结果：腹腔镜手术成功7例,成功率70%,3例由于腹腔广泛严重粘连而中转剖腹行粘连松解及小肠折叠术,平均手术时间70min,术中出血10~50ml,术后平均住院3d,无手术死亡病例及其他并发症发生。结论：腹腔镜肠粘连松解术具有手术时间短,患者创伤小,出血少,术后康复快,并发症少,住院时间短等优点。【关键词】 肠梗阻;腹腔镜;诊断;治疗结果
Application of laparoscopy in the diagnosis and treatment of adhesive ileus
LIAO Weichun,LUO Yufang.
Dept.of General Surgery,Xingning City People's Hospital,Xingning 514500,China
【Abstract】 Objective:To investingate the value of application of laparoscopy in the diagnosis and treatment of adhesive ileus.Methods:The clinical data of 10 patients with adhesion intestinal obstruction who underwent laparoscopic enterolysis were analyzed retrospctively.Results:Laparoscopic operations were performed successfully in 7 cases.The successful rate was 70%(7/10).3 cases were converted to laparotomy.The enterolysis and plication of intestine were performed to these 3 cases.The mean operative time was 70min,The introperative blood loss was 1050ml and mean hospitalization was 3 days.There was no death or other complications.Conclusions:The laparoscopic enterolysis has many advantages such as short operation time,miniml trauma,rapid recovery,low postoperative complications and short hospitalization. ......
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