腹腔镜和开腹肠粘连松解术治疗粘连性肠梗阻的临床疗效比较

DOI：10.19368/ki.2096-1782.2023.09.120

腹腔镜和开腹肠粘连松解术治疗粘连性肠梗阻的

临床疗效比较

孙伟君

桓台县妇幼保健院外科，山东淄博256400

[摘要]目的比较粘连性肠梗阻患者行腹腔镜和开腹肠粘连松解术的疗效。方法选取2019年1月—2021年

6月间桓台县妇幼保健院收治的100例粘连性肠梗阻患者为研究对象，按照随机数表法分为两组，每组50例。对照组行开腹肠粘连松解术治疗，观察组行腹腔镜肠粘连松解术，比较两组围术期情况、术前术后炎性指标水平、术后治疗效果。结果观察组手术时长（71.40±15.59）min、切口长度（2.10±0.90）cm、失血量（58.79±10.80）mL、术后首次下床时间（20.55±2.40）h、消化功能恢复时间（37.78±7.21）h指标均优于对照组，差异有统

计学意义（t=-4.535、-15.032、-13.152、-47.838、-5.082，P<0.05），术前两组PA、CRP、PCT水平比较，差异无统计学意义（P>0.05）；术后7 d，两组 PA水平较术前高，CRP和PCT较术前低，且观察组PA、PCT、CRP水平较对照组优，差异有统计学意义（P<0.05）。观察组总体疗效为98.00%高于对照组的82.00%，差异有统计学意义（P<0.05）。结论腹腔镜肠粘连松解术优于开腹肠粘连松解术，其能有效改善围术期各指标水平，提高术后的康复效果，减轻感染。

[关键词]腹腔镜；开腹肠粘连松解术；粘连性肠梗阻

[中图分类号]R4 [文献标识码]A [文章编号]2096-1782（2023）05(a)-0120-04

Comparison of Clinical Efficacy of Laparoscopic and Open Intestinal Ad⁃hesion Lysis in the Treatment of Adhesive Intestinal Obstruction

SUN Weijun

Department of Surgery, Huantai Maternal and Child Health Hospital, Zibo, Shandong Province, 256400 China

[Abstract] Objective To compare the efficacy of laparoscopic and open intestinal adhesiolysis in patients with adhe‐sive intestinal obstruction. Methods A total of 100 patients with adhesive ileus admitted to Huantai County Maternal and Child Health Hospital from January 2019 to June 2021 were selected as the study objects, and were divided into two groups according to random number table method, with 50 cases in each group. The control group was treated with open intestinal adhesiolysis, and the observation group was treated with laparoscopic intestinal adhesiolysis. The op‐erative period, the level of inflammatory indexes before and after operation, and the postoperative therapeutic effect of the two groups were compared. Results The operation duration of the observation group was (71.40±15.59) min, the in‐cision length was (2.10±0.90) cm, the blood loss was (58.79±10.80) mL, the first time to get out of bed after surgery was (20.55±2.40) h, and the recovery time of digestive function was (37.78±7.21) h, and the difference was statistically significant (t=-4.535, -15.032, -13.152, -47.838, -5.082, P<0.05), and there was no statistically significant differ‐ence in the levels of PA, CRP and PCT between the two groups before surgery (P>0.05). On the 7 d after operation, the levels of PA and CRP and PCT in the two groups were higher than before operation, and the levels of PA, PCT and CRP in the observation group were better than those in the control group, the difference was statistically significant (P< 0.05). The overall curative effect of the observation group (98.00%) was higher than that of the control group (82.00%), and the difference was statistically significant (P<0.05). Conclusion Laparoscopic intestinal adhesiolysis is superior to open intestinal adhesiolysis, which can effectively improve the level of various indexes during operation, improve the [作者简介] 孙伟君（1974-），男，本科，副主任医师，研究方向为腹腔镜。