中华普通外科学文献(电子版)
中華普通外科學文獻(電子版)
중화보통외과학문헌(전자판)
CHINESE JOURNAL OF GENERAL SURGERY(ELECTRONIC VERSION)
2014年
5期
399-401
,共3页
脾切除%腹腔镜%预后
脾切除%腹腔鏡%預後
비절제%복강경%예후
Splenectomy%Laparoscopic%Prognosis
目的:比较腹腔镜脾切除术(LS)与开腹脾切除术(OS)的临床疗效。方法2011年7月至2013年7月,选择同期分别行腹腔镜脾切除术(腹腔镜组)和开腹脾切除术(开腹组)的患者,各12例。对比分析两组患者的临床资料,包括手术时间、术中出血量、禁食时间、术后切口疼痛评分、术后住院时间等。结果与开腹组相比,腹腔镜组患者的手术时间[(170±9.7)minvs(89±4.4)min,t=24.087]、术后禁食时间[(40±8.4)hvs(68±5.8)h,t=8.558]以及术后住院时间[(7.3±0.8)d vs(13.2±0.9)d,t=-15.122]更短,术中出血量更少[(94±4.7)ml vs(170±20.7)ml,t=-11.355],术后第1天切口疼痛评分[(3.1±0.8)分vs(5.5±0.5)分,t=8.813]和第3天评分[(1.2±0.4)分vs(2.7±0.5)分,t=8.115]明显优于开腹组,差异均有统计学意义(P<0.01)。结论腹腔镜脾切除术具有创伤小、术后恢复快、并发症发生率低等特点,值得临床推广应用。
目的:比較腹腔鏡脾切除術(LS)與開腹脾切除術(OS)的臨床療效。方法2011年7月至2013年7月,選擇同期分彆行腹腔鏡脾切除術(腹腔鏡組)和開腹脾切除術(開腹組)的患者,各12例。對比分析兩組患者的臨床資料,包括手術時間、術中齣血量、禁食時間、術後切口疼痛評分、術後住院時間等。結果與開腹組相比,腹腔鏡組患者的手術時間[(170±9.7)minvs(89±4.4)min,t=24.087]、術後禁食時間[(40±8.4)hvs(68±5.8)h,t=8.558]以及術後住院時間[(7.3±0.8)d vs(13.2±0.9)d,t=-15.122]更短,術中齣血量更少[(94±4.7)ml vs(170±20.7)ml,t=-11.355],術後第1天切口疼痛評分[(3.1±0.8)分vs(5.5±0.5)分,t=8.813]和第3天評分[(1.2±0.4)分vs(2.7±0.5)分,t=8.115]明顯優于開腹組,差異均有統計學意義(P<0.01)。結論腹腔鏡脾切除術具有創傷小、術後恢複快、併髮癥髮生率低等特點,值得臨床推廣應用。
목적:비교복강경비절제술(LS)여개복비절제술(OS)적림상료효。방법2011년7월지2013년7월,선택동기분별행복강경비절제술(복강경조)화개복비절제술(개복조)적환자,각12례。대비분석량조환자적림상자료,포괄수술시간、술중출혈량、금식시간、술후절구동통평분、술후주원시간등。결과여개복조상비,복강경조환자적수술시간[(170±9.7)minvs(89±4.4)min,t=24.087]、술후금식시간[(40±8.4)hvs(68±5.8)h,t=8.558]이급술후주원시간[(7.3±0.8)d vs(13.2±0.9)d,t=-15.122]경단,술중출혈량경소[(94±4.7)ml vs(170±20.7)ml,t=-11.355],술후제1천절구동통평분[(3.1±0.8)분vs(5.5±0.5)분,t=8.813]화제3천평분[(1.2±0.4)분vs(2.7±0.5)분,t=8.115]명현우우개복조,차이균유통계학의의(P<0.01)。결론복강경비절제술구유창상소、술후회복쾌、병발증발생솔저등특점,치득림상추엄응용。
Objective To compare the clinical outcome of laparoscopic splenectomy versus open splenectomy. Methods Clinical parameters of twelve cases treated with laparoscopic splenectomy and another twelve with open splenectomy were enrolled from July 2011 to July 2013. The clinical parameters such as operative time, blood loss, fasting time, postoperative wound pain scores, postoperative hospital stay were analyzed statistically. Results Compared to the open surgery group, splenectomy group had shorter operation time [(170±9.7) min vs (89±4.4) min, t=24.087], postoperative fasting time[(40±8.4) h vs (68±5.8) h, t=8.558], and postoperative hospital stay[(7.3±0.8) d vs (13.2±0.9) d, t=-15.122]. VAS on postoperative day 1 and day 3 of splenectomy group were both significantly less than the other group [(3.1±0.8)vs(5.5±0.5), t=8.813;(1.2±0.4)vs(2.7±0.5), t=8.115] (P< 0.01). Conclusion Laparoscopic splenectomy is a better choice for the patients, with less trauma, less pain, and lower rate of complications.