腹腔镜手术治疗肠梗阻的临床效果分析

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英文篇名：Clinical Analysis of Laparoscopic Surgery for Intestinal Obstruction 作者：赵利强 英文作者：ZHAO Li-qiang;Department of Emergency, Liaoyuan Central Hospital; 关键词：腹腔镜手术治疗 ; 肠梗阻 ; 急腹症 ; 临床观察 英文关键词：Laparoscopic surgery;;Intestinal obstruction;;Acute abdomen;;Clinical observation 中文刊名：HZZZ 英文刊名：China & Foreign Medical Treatment 机构：辽源市中心医院急诊科; 出版日期：2019-05-11 出版单位：中外医疗 年：2019 期：v.38 语种：中文; 页：HZZZ201914025 页数：3 CN：14 ISSN：11-5625/R 分类号：81-83

摘要

目的观察探讨采用腹腔镜手术治疗肠梗阻的临床效果。方法方便选取2017年8月—2018年9月期间在该院治疗的肠梗阻患者70例作为临床研究对象,根据不同的治疗方法将所有患者平均分成各35例的两组,给予观察组腹腔镜手术治疗,给予对照组传统开腹手术治疗,总结两组患者的临床治疗效果和各项手术指标。结果观察组患者的治疗总有效率80.00%与对照组57.14%相比较更高,观察组患者的术中出血量为(39.59±6.09)mL、手术时间为(55.58±12.18)min、住院时间为(5.56±1.18)d;对照组的术中出血量为(156.56±25.18)m L、手术时间为(98.56±20.59)min、住院时间为(10.25±4.57)d。观察组各项指标均低于对照组,两组疗效比较结果差异有统计学意义(t=26.712 6,8.972 0,5.878 6,P<0.05)。结论对肠梗阻采用腹腔镜手术治疗的手术质量高,患者术后出现的并发症少,该病再次发作的概率降低,有比较高的临床应用价值。
        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.

引文

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