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腹腔镜治疗粘连性肠梗阻(附85例报告) 被引量:2

Therapeutic laparoscopy for adhesive ilus(report of 85 cases)
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摘要 目的探讨腹腔镜松解粘连性肠梗阻的效果。方法回顾性分析我院普外科自2005-2007年因粘连性肠梗阻行腹腔镜松解术85例的临床资料。结果79例成功利用腹腔镜完成粘连松解术,6例因术中损伤小肠改为开腹手术,79例利用腹腔镜成功行粘连松解术的患者经过1-38个月随访,均无梗阻症状复发。结论腹腔镜肠粘连松解术创口小、腹膜创面小、操作轻柔、腹腔干扰少,能较大限度地减少术后腹腔内再粘连,为粘连性肠梗阻的外科治疗提供了一种新方法。 Objective To explore the effect of therapeutic laparoscopy on soluting adhesive ilus. Methods Eigty - five cases of adhesive ilus performed lysis with laparoscope from 2005 to 2007, Their clinical data were retrospec - tively analyzed. Results Seventy - nine cases of patients were treated by laparoscopy ;6 cases were converted to lapa- rotomy because of intestinal injury. 79 patients successfully treated by lapamscopie were followed up, and none of them recurred. Conclusions Lysis with laparoscope for adhesive ilus is minltraumatic,operating lightly and softly,which issens the occurrence of adhension in abdominal cavity again. The laparoscopy provides a new technique for surgery in adhesive ilus.
作者 田立功 徐涛
出处 《医学信息(手术学分册)》 2008年第5期405-406,共2页 Medical Information Operations Sciences Fascicule
关键词 粘连性肠梗阻 腹腔镜 adhesive ilus laparoscope
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  • 1[1]Van der Zee D C,Bax NM.Management of adhesive bowel obstruction in children is changed by laparoscopy[J].Surg Endosc,1999,13 (9):925-930.
  • 2[2]Becmeur F,Besson R.Treatment of small-bowel obstruction by laparoscopy in children nulticentric study.GECI.Groupe d'Etude en Coeliochirurgie Infantil[J].Eur J Pediatr Surg,1998,8(6):343 -346.
  • 3[3]Stfickland P,Lourie D J,Suddlson E A,et al.Is laparoscopy safe an of effective for treatment of acute small-bowel obstruction[J].Surg Endosc,1999,13(7):695 -697.
  • 4廖伟春,罗宇芳.腹腔镜在诊治粘连性肠梗阻中的应用[J].腹腔镜外科杂志,2006,11(2):102-103. 被引量:12

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