腹腔镜手术治疗粘连性不全肠梗阻的临床效果

目的探讨腹腔镜技术治疗粘连性不全肠梗阻的临床效果。方法选取2017年8月至2019年8月本院收治的粘连性不全肠梗阻患者90例,随机分为腹腔镜手术组和开腹手术组,每组45例。统计分析两组患者的手术相关指标、体重指数和生活质量评分。结果腹腔镜手术组患者手术时间长于开腹手术组(P<0.05),切口长度短于开腹手术组(P<0.05),术中出血量少于开腹手术组(P<0.05),住院时间短于开腹手术组(P<0.05)。与手术前比较,手术后腹腔镜手术组患者体重指数、生活质量评分均显著高于开腹手术组(P<0.05)。结论腹腔镜手术治疗粘连性不全肠梗阻的临床效果优于开腹手术,值得临床推广应用。

Clinical effect of laparoscopy in the treatment of intestinal obstruction with adhesive incompleteness

Objective To investigate the clinical effect of laparoscopy in the treatment of adhesive incomplete intestinal obstruction.Methods 90 cases of patients with adhesive incomplete intestinal obstruction recerved in the hospital from August 2017 to August 2019 were randomly selected,they were randomly divided into laparoscopic group and open group,with 45 cases in each group.The operation related indexes,body mass indexes and quality of life scores of the two groups were statistically analyzed.Results The operation time of the laparoscopic group was significantly longer than the open group(P<0.05),the incision length was significantly shorter than the open group(P<0.05),the intraoperative bleeding volume was significantly less than the open group (P<0.05), the hospitalization time was significantly shorter than the open technique group (P<0.05). Conparedwith before operation, the increase degrees of body mass index (BMI) and quality of life (QOL) scores after operation of the laparoscopicgroup were significantly higher than the open group (P<0.05). Conclusion The clinical effect of laparoscopic technique is better than open techniquein the treatment of adhesive incomplete intestinal obstruction, so is worthy of promotion and application in the clinical.