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[腹腔镜粘连松解术是否合理?]

[Does laparoscopic lysis of adhesions make sense?].

作者信息

Tschudi J, Mueller M, Klaiber C

机构信息

Chirurgische Abteilung, Spital Aarberg.

出版信息

Schweiz Med Wochenschr. 1993 May 29;123(21):1128-30.

PMID:8511547
Abstract

Between May 1989 and December 1991 23 patients were operated on laparoscopically for symptomatic peritoneal adhesions. 19 were followed up by telephone using a standardized questionnaire an average of 18.3 months post-operatively (range 5-36 months). 12 patients were totally painfree, 3 complained of slight pain, 2 patients of fairly severe and 2 of severe pain. 15 patients considered the outcome of the operation to be good or fairly good and 18 said they would undergo the same operation in similar circumstances. We therefore recommend laparoscopic adhesiolysis in cases of acute or chronic abdominal pain, provided other causes of abdominal discomfort have been ruled out.

摘要

1989年5月至1991年12月期间,23例有症状的腹膜粘连患者接受了腹腔镜手术。其中19例患者在术后平均18.3个月(5 - 36个月)通过电话使用标准化问卷进行了随访。12例患者完全无痛,3例主诉轻微疼痛,2例为中度疼痛,2例为重度疼痛。15例患者认为手术结果良好或较好,18例表示在类似情况下愿意接受相同手术。因此,我们建议在排除其他引起腹部不适的原因后,对急性或慢性腹痛患者进行腹腔镜粘连松解术。

相似文献

1
[Does laparoscopic lysis of adhesions make sense?].[腹腔镜粘连松解术是否合理?]
Schweiz Med Wochenschr. 1993 May 29;123(21):1128-30.
2
The role of laparoscopic adhesiolysis in chronic abdominal pain.腹腔镜粘连松解术在慢性腹痛中的作用。
Minerva Chir. 2001 Oct;56(5):461-5.
3
[Impact of laparoscopic surgery in the treatment of chronic abdominal pain syndrome].[腹腔镜手术在慢性腹痛综合征治疗中的影响]
Chir Ital. 2002 May-Jun;54(3):367-78.
4
[Is laparoscopic treatment of adhesions a valid approach for postoperative abdominal pain?].[腹腔镜治疗粘连对术后腹痛是否是一种有效的方法?]
G Chir. 2000 Nov-Dec;21(11-12):433-7.
5
[Laparoscopic adhesiolysis in therapy of chronic abdominal pain].[腹腔镜粘连松解术治疗慢性腹痛]
Zentralbl Chir. 1995;120(5):387-91.
6
[Chronic abdominal pain: role of video-laparoscopic adhesiolysis].[慢性腹痛:视频腹腔镜粘连松解术的作用]
Chir Ital. 1996;48(4):43-6.
7
Consequences and complications of peritoneal adhesions.腹膜粘连的后果及并发症。
Colorectal Dis. 2007 Oct;9 Suppl 2:25-34. doi: 10.1111/j.1463-1318.2007.01358.x.
8
[Laparoscopic lysis of adhesions--a simple method of diagnosis and therapy of abdominal pain caused by adhesions].
Leber Magen Darm. 1992 Jan;22(1):27-8.
9
Complications and feasibility of laparoscopic adhesiolysis in patients with chronic abdominal pain. A retrospective study.慢性腹痛患者腹腔镜粘连松解术的并发症及可行性:一项回顾性研究。
Surg Endosc. 2002 Oct;16(10):1468-73. doi: 10.1007/s00464-002-0008-z. Epub 2002 Jun 20.
10
[Endoscopy in the diagnosis and treatment of abdominal adhesions].
Khirurgiia (Mosk). 1994 Jun(6):25-8.

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1
Abdominal adhesions: intestinal obstruction, pain, and infertility.腹部粘连:肠梗阻、疼痛与不孕。
Surg Endosc. 2003 Jul;17(7):1017-22. doi: 10.1007/s00464-002-9208-9. Epub 2003 Mar 14.