目的 探索腹腔镜与开腹粘连松解术在粘连性肠梗阻患者中的治疗效果?方法在本院2018年3月至2019年5月收治的粘连性肠梗阻患者中选出138例为研究对象，根据患者的治疗意愿分为腹腔镜组和开腹组，每组69例?收集两组的手术指标及治疗效果?结果 两组的手术时间?手术切口长度?术中出血量对比，差异均有统计学意义(P<0.001);腹腔镜组的术后镇痛药物使用率低于开腹组(P < 0.05); 腹腔镜组患者的术后镇痛消失时间?肠蠕动恢复时间?术后下床活动时间?术后住院时间均短于开腹组(P<0.001);腹腔镜组患者术“,”Objective To explore the effect of laparoscopy and laparotomy in the treatment of adhesive intestinal obstruction. Methods A total of 138 patients with adhesive intestinal obstruction were selected from March 2018 to May 2019. The patients were divided into laparoscopy group and laparotomy group according to their treatment wishes， 69 cases in each group. The surgical indexes and treatment effect of the two groups were collected. Results There were signi?cant differences in operation time， incision length and intraoperative blood loss between the two groups (P<0.001). The postoperative analgesic drug utilization rate in laparoscopy group was lower than that in laparotomy group (P<0.05)， and that in laparoscopy group was signi?cantly lower than that in laparoscopy group (P<0.05). The disappearance time of analgesia， the recovery time of intestinal peristalsis， the time of getting out of bed after operation and hospitalization time after operation were shorter than those of laparotomy group (P<0.001). The serum levels of IL-6， CRP and TNF-α in the laparoscopic group were measured 3 days after operation were signi?cantly lower than those in the control group (P<0.05). The complication rate of laparoscopy group was lower than that of laparotomy group (P<0.05). The recurrence of adhesive ileus in laparoscopic group was lower than laparotomy group (P<0.05). Conclusion Laparoscopic adhesive loosening is effective in patients with adhesive intestinal obstruction， reduces surgical trauma and promotes early recovery after operation.