目的 探讨腹腔镜手术治疗粘连性肠梗阻的效果。方法 选取2014年1月—2017年12月收治的120例粘连性肠梗阻患者作为研究对象,按照手术方法不同将所有患者分为开腹组（60例）和腹腔镜组（60例）;开腹组采用开腹手术治疗,腹腔镜组实施腹腔镜手术治疗,对比两组效果。结果 腹腔镜组手术时间、术后排气时间、下床活动时间、住院时间均显著短于开腹组（P<0.05）,术中出血量显著少于对照组（P<0.05）;腹腔镜组并发症发生率显著低于开腹组（P<0.05）。结论 腹腔镜手术治疗粘连性肠梗阻可缩短手术时间,减少术中出血量及术后并发症发生,促进术后康复,安全可靠。

Objective To investigate the effect of laparoscopic surgery on adhesive intestinal obstruction. Methods A total of 120 patients with adhesive intestinal obstruction admitted to our hospital from January 2014 to December 2017 were selected as study subjects and divided into open group （60 cases） and laparoscopic group （60 cases） according to the surgery they received. The surgery effects were compared between the two groups. Results The operation time, exhaustion time, ambulation time, and hospitalization time in the laparoscopic group were significantly shorter than those in the open group （P<0.05）, while the amount of bleeding during operation was significantly less （P<0.05）, and the incidence of complications was significantly lower （P<0.05）, in the laparoscopic group than those in the open group. Conclusion Laparoscopic surgery is safe and reliable for adhesive intestinal obstruction as it can shorten operation time, reduce intraoperative bleeding and postoperative complications, and promote postoperative rehabilitation.