开腹与腹腔镜胆囊手术对术后肠粘连影响的比较
Chinese Journal of Primary Medicine and Pharmacy(2012)
Abstract
肠粘连是腹部手术中常见并发症,是肠腔的物理性或机能性阻塞,是由于机械刺激损伤脏器的浆膜和壁层腹膜,加之炎性反应渗出、水肿等因素而致[1].肠粘连极易引起粘连性肠梗阻[2-4],疾病进展迅速,可逐渐演变成绞窄性肠梗阻、肠坏死或穿孔,病死率可高达20%~30%[5],严重威胁患者的生命.因此,尽量避免腹部手术术后肠粘连具有重要的临床意义.本研究回顾性分析187例急性胆囊炎手术患者的完整临床资料,其中112例采用腹腔镜手术,75例采用开腹手术,现将两种术式对术后肠粘连的影响做一对比分析.
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