中国医学前沿杂志(电子版)
中國醫學前沿雜誌(電子版)
중국의학전연잡지(전자판)
CHINESE JOURNAL OF THE FRONTIERS OF MEDICAL SCIENCE(ELECTRONIC VERSION)
2014年
8期
101-103
,共3页
腹腔镜%胃肠外科急诊%应用
腹腔鏡%胃腸外科急診%應用
복강경%위장외과급진%응용
Laparoscope%Gastrointestinal surgical emergency%Application
目的:对腹腔镜探查在胃肠外科急诊中的应用进行探讨。方法收集本院2010年1月至2012年12月在胃肠外科急诊就诊患者94例,将其中行腹腔镜探查患者作为试验组,行剖腹探查患者作为对照组,两组各47例。结果两组患者在手术检查结果方面不存在显著差异(P>0.05),试验组患者住院天数、术中失血量、术后离床活动时间均显著优于对照组,组间比较差异具有显著性(P<0.05);试验组患者并发症发生率低于对照组,差异具有显著性(P<0.05),但在手术操作时间方面两组不存在显著差异(P>0.05)。结论在胃肠外科急诊中腹腔镜探查对患者创伤小、并发症少,恢复较快,在临床上值得进一步研究并推广使用。
目的:對腹腔鏡探查在胃腸外科急診中的應用進行探討。方法收集本院2010年1月至2012年12月在胃腸外科急診就診患者94例,將其中行腹腔鏡探查患者作為試驗組,行剖腹探查患者作為對照組,兩組各47例。結果兩組患者在手術檢查結果方麵不存在顯著差異(P>0.05),試驗組患者住院天數、術中失血量、術後離床活動時間均顯著優于對照組,組間比較差異具有顯著性(P<0.05);試驗組患者併髮癥髮生率低于對照組,差異具有顯著性(P<0.05),但在手術操作時間方麵兩組不存在顯著差異(P>0.05)。結論在胃腸外科急診中腹腔鏡探查對患者創傷小、併髮癥少,恢複較快,在臨床上值得進一步研究併推廣使用。
목적:대복강경탐사재위장외과급진중적응용진행탐토。방법수집본원2010년1월지2012년12월재위장외과급진취진환자94례,장기중행복강경탐사환자작위시험조,행부복탐사환자작위대조조,량조각47례。결과량조환자재수술검사결과방면불존재현저차이(P>0.05),시험조환자주원천수、술중실혈량、술후리상활동시간균현저우우대조조,조간비교차이구유현저성(P<0.05);시험조환자병발증발생솔저우대조조,차이구유현저성(P<0.05),단재수술조작시간방면량조불존재현저차이(P>0.05)。결론재위장외과급진중복강경탐사대환자창상소、병발증소,회복교쾌,재림상상치득진일보연구병추엄사용。
Objective The application of laparoscopic exploration in gastrointestinal surgical emergency were discussed. Method Collected from January 2010 to December 2012 in emergency department patients, 94 cases of gastrointestinal surgery, including laparoscopic searches for experimental group, laparotomy for control group, two groups of 47 cases respectively. Result Surgical results in patients with two groups there was no signiifcant difference (P > 0.05), at the same time, two groups of patients in hospitalization days, intraoperative blood loss, postoperative bed time had signiifcant differences (P<0.05), showed that experimental group was superior to control group;two groups had no statistical differences in operation time (P>0.05), signiifcant differences on the incidence of complications in the two groups (P < 0.05), experimental group was lower than control group. Conclusion In the gastrointestinal surgical emergency laparoscopic exploration has small trauma, fewer complications, and patients recover faster, deserves further research and promote the use in clinic.