Mueller M D, Tschudi J, Herrmann U, Klaiber C
Department of Obstetrics and Gynecology, Spital Biel, Switzerland.
Surg Endosc. 1995 Jul;9(7):802-4. doi: 10.1007/BF00190085.
The purpose of this prospective study was to determine whether laparoscopic adhesiolysis ameliorates chronic abdominal pain in patients with abdominal adhesions. Forty-five patients with chronic abdominal pain lasting for more than 6 months but with no abnormal findings other than adhesions found at laparoscopy underwent laparoscopic adhesiolysis. Thirty-six patients (80%) were available for follow-up after a median time interval of 10 months (range: 6-36 months). Seventeen patients (47.2%) were free from abdominal pain and 13 patients (36.1%) reported significant amelioration of their pain. Six (16.6%) patients had no amelioration. Twenty-nine patients (80.6%) judged the outcome of the operation to be good or beneficial and 35 (97.2%) said that they would undergo the operation a second time if that were necessary. Laparoscopy is an effective tool for the evaluation of patients with chronic abdominal pain, and laparoscopic adhesiolysis cures or ameliorates chronic abdominal pain in more than 80% of patients.
这项前瞻性研究的目的是确定腹腔镜粘连松解术能否改善腹部粘连患者的慢性腹痛。45例慢性腹痛持续超过6个月、但腹腔镜检查除粘连外无其他异常发现的患者接受了腹腔镜粘连松解术。36例患者（80%）在中位时间间隔10个月（范围：6 - 36个月）后可进行随访。17例患者（47.2%）腹痛消失，13例患者（36.1%）报告疼痛明显改善。6例患者（16.6%）疼痛无改善。29例患者（80.6%）认为手术结果良好或有益，35例患者（97.2%）表示如有必要愿意再次接受该手术。腹腔镜检查是评估慢性腹痛患者的有效工具，腹腔镜粘连松解术可治愈或改善超过80%患者的慢性腹痛。
