重庆医学
重慶醫學
중경의학
CHONGQING MEDICAL JOURNAL
2014年
26期
3424-3426
,共3页
腹腔镜%胆道闭锁%外科伤口感染
腹腔鏡%膽道閉鎖%外科傷口感染
복강경%담도폐쇄%외과상구감염
laparoscopes%biliary atresia%surgical wound infection
目的：探讨腹腔镜手术对Ⅲ型胆道闭锁患儿治疗效果及术后感染的影响。方法将85例Ⅲ型胆道闭锁患儿分为传统手术组（O P组）42例及腹腔镜手术组（L P组）43例，对比分析两组患者手术情况、术后炎症因子变化、手术前后肝功能指标变化、术后感染情况。结果 LP组手术时间较OP组长（P＜0．05），术中出血量、术后视觉模拟评分（VAS）少于OP组（P＜0．05），术后恢复进食时间早于OP组（P＜0．05）。LP组术后感染率低于OP组（P＜0．05）。两组患儿术前、术后1、3、6、12个月肝功能指标恢复差异无统计学意义（P＞0．05）。结论腹腔镜手术与传统手术治疗Ⅲ型胆道闭锁患儿各有利弊，临床应根据患儿实际情况选取合适的手术方式。
目的：探討腹腔鏡手術對Ⅲ型膽道閉鎖患兒治療效果及術後感染的影響。方法將85例Ⅲ型膽道閉鎖患兒分為傳統手術組（O P組）42例及腹腔鏡手術組（L P組）43例，對比分析兩組患者手術情況、術後炎癥因子變化、手術前後肝功能指標變化、術後感染情況。結果 LP組手術時間較OP組長（P＜0．05），術中齣血量、術後視覺模擬評分（VAS）少于OP組（P＜0．05），術後恢複進食時間早于OP組（P＜0．05）。LP組術後感染率低于OP組（P＜0．05）。兩組患兒術前、術後1、3、6、12箇月肝功能指標恢複差異無統計學意義（P＞0．05）。結論腹腔鏡手術與傳統手術治療Ⅲ型膽道閉鎖患兒各有利弊，臨床應根據患兒實際情況選取閤適的手術方式。
목적：탐토복강경수술대Ⅲ형담도폐쇄환인치료효과급술후감염적영향。방법장85례Ⅲ형담도폐쇄환인분위전통수술조（O P조）42례급복강경수술조（L P조）43례，대비분석량조환자수술정황、술후염증인자변화、수술전후간공능지표변화、술후감염정황。결과 LP조수술시간교OP조장（P＜0．05），술중출혈량、술후시각모의평분（VAS）소우OP조（P＜0．05），술후회복진식시간조우OP조（P＜0．05）。LP조술후감염솔저우OP조（P＜0．05）。량조환인술전、술후1、3、6、12개월간공능지표회복차이무통계학의의（P＞0．05）。결론복강경수술여전통수술치료Ⅲ형담도폐쇄환인각유리폐，림상응근거환인실제정황선취합괄적수술방식。
Objective To investigate the effects of laparoscopic operation in treating type Ⅲ child biliary atresia and its influence on postoperative infections .Methods 85 children cases of type Ⅲ biliary atresia were randomly divided into the conventional sur-gery group(OP group ,n=42) and the laparoscopic surgery group(LP group ,n=43) .The operation situation ,postoperative changes of inflammatory factors ,changes of liver function indexes before and after operation and postoperative infection were compared be-tween the two groups .Results The operative time of the LP group was longer than that of the OP group (P<0 .05) ,the intraoper-ative blood loss and the VAS scores of the LP group were less than those of OP group (P<0 .05) ,the postoperative eating recovery time of the LP group was earlier than that of the OP group (P<0 .05) ,the length of hospital stay of the LP group was shorter than that of the OP group(P<0 .05) and the postoperative infection rate of the LP group was lower than that of the OP group (P<0 . 05) .The liver function indexes recovery showed no statistically significant differences before and in postoperative 1 ,3 ,6 ,12 months between the two groups(P>0 .05) .Conclusion The laparoscopic operation and the conventional operation in treating type Ⅲ child biliary atresia have their own advantages and disadvantages .The appropriate operation mode should be selected according to the children′s actual situation .
