[摘要] 目的 探讨医用几丁糖配合腹腔镜治疗粘连性肠梗阻的可行性及疗效。方法 回顾性分析2007年10月～2009年10月施行腹腔镜粘连松解术合并应用医用几丁糖治疗粘连性肠梗阻18例患者的临床资料。结果 16例应用腹腔镜成功实施粘连松解术,未出现手术并发症,随访至今无肠梗阻症状复发;2例中转开腹。结论 医用几丁糖配合腹腔镜治疗粘连性肠梗阻具有创伤小、术后康复快、复发率低等优点,是处理粘连性肠梗阻的有效手段之一。

    [关键词] 腹腔镜; 肠梗阻

    [中图分类号] R574.2 [文献标识码] A [文章编号] 1673-9701(2010)15-147-02

    Chitosan with Laparoscopic Treatment of Adhesions Analysis of 18 Cases of Intestinal Obstruction

    QI Chaoxin CAI Tinggan

    Wuyang County People's Hospital,Wuyang 462400,China

    [Abstract] ObjectiveTo explore the Chitosan with laparoscopic treatment of adhesive ileus the feasibility and efficacy. MethodsRetrospective analysis from October 2007 to October 2009 laparoscopic adhesion lysis combined application of chitosan for medical treatment of adhesive intestinal obstruction in patients with clinical data of 18 cases. Results16 cases of successful implementation of laparoscopic adhesion lysis,does not appear operative complications,follow-up so far,no recurrence of symptoms bowel obstruction;Two cases of transit laparotomy. ConclusionChitosan with laparoscopic treatment of adhesive intestinal obstruction with less trauma,faster postoperative recovery,low recurrence rate of the advantages of dealing with an effective means of adhesive intestinal obstruction is one. ......