电子胃镜代腹腔镜在肠粘连诊治中的临床应用（附7例报告）

Clinical application of electronic gastroscopy instead of laparoscope in diagnosis and treatment of intestinal adhesion (7 cases)

摘要:

目的 探讨电子胃镜行粘连松解术在诊治粘连性肠梗阻中的应用价值。方法 回顾性分析7例电子胃镜代替腹腔镜行粘连松解术治疗粘连性肠梗阻患者的临床资料。结果 7例患者术后腹痛均消失，随访2～48个月，均未再发腹痛和腹胀。结论 经脐电子胃镜诊治粘连性肠梗阻优势大，可同时行粘连松解术等镜下操作，具有安全、经济、疗效确切和恢复快等优点，值得临床推广。

Abstract:

Objective To investigate the application value of adhesiolysis by electronic gastroscopy in diagnosis and treatment of adhesive ileus.Methods 7 cases of adhesive ileus treated with adhesiolysis by electronic gastroscopy instead of laparoscopy were retrospectively analyzed.Results Postoperative abdominal pain disappeared, and there was no recurrence of abdominal pain and abdominal distension during 2～48 months follow-up.Conclusion Transumbilical electronic gastroscopy has considerable advantages in diagnosis and operation of adhesive ileus. It can be used for endoscopic treatment of adhesiolysis at the same time. It has the advantages of safety, economy, accurate curative effect and quick recovery, which is worthy of clinical promotion.