中国临床新医学
中國臨床新醫學
중국림상신의학
CHINESE JOURNAL OF NEW CLINICAL MEDICINE
2014年
10期
930-932
,共3页
腹腔镜脾切除术%临床观察
腹腔鏡脾切除術%臨床觀察
복강경비절제술%림상관찰
Laparoscopic splenectomy(LS)%Clinical observation
目的:探讨腹腔镜脾切除术( LS)的临床效果。方法对12例行腹腔镜脾切除术患者的手术时间、术中出血量、禁食时间、术后切口疼痛评分、术后住院时间进行观察分析。结果手术时间为155~182 min,平均为170 min;手术中出血量为85~100 ml,平均为94 ml;术后禁食时间为24~48 h,平均为40 h;术后第1天切口疼痛评分得分为2~4分,平均为3.1分;术后第3天切口疼痛评分为1~2分,平均为1.2分;术后住院时间为6~8 d,平均为7.3 d。结论腹腔镜脾脏切除术具有创伤小、患者痛苦少、术中出血少、术后恢复快、并发症少、术后切口疼痛小,住院时间短、伤口小而美观等优点,是行脾切除术患者的最佳选择。
目的:探討腹腔鏡脾切除術( LS)的臨床效果。方法對12例行腹腔鏡脾切除術患者的手術時間、術中齣血量、禁食時間、術後切口疼痛評分、術後住院時間進行觀察分析。結果手術時間為155~182 min,平均為170 min;手術中齣血量為85~100 ml,平均為94 ml;術後禁食時間為24~48 h,平均為40 h;術後第1天切口疼痛評分得分為2~4分,平均為3.1分;術後第3天切口疼痛評分為1~2分,平均為1.2分;術後住院時間為6~8 d,平均為7.3 d。結論腹腔鏡脾髒切除術具有創傷小、患者痛苦少、術中齣血少、術後恢複快、併髮癥少、術後切口疼痛小,住院時間短、傷口小而美觀等優點,是行脾切除術患者的最佳選擇。
목적:탐토복강경비절제술( LS)적림상효과。방법대12례행복강경비절제술환자적수술시간、술중출혈량、금식시간、술후절구동통평분、술후주원시간진행관찰분석。결과수술시간위155~182 min,평균위170 min;수술중출혈량위85~100 ml,평균위94 ml;술후금식시간위24~48 h,평균위40 h;술후제1천절구동통평분득분위2~4분,평균위3.1분;술후제3천절구동통평분위1~2분,평균위1.2분;술후주원시간위6~8 d,평균위7.3 d。결론복강경비장절제술구유창상소、환자통고소、술중출혈소、술후회복쾌、병발증소、술후절구동통소,주원시간단、상구소이미관등우점,시행비절제술환자적최가선택。
Objective To explore the clinical effects of laparoscopic splenectomy( LS) .Methods In 12 pa-tients undergoing LS,the operative time, blood loss, fasting time, postoperative wound pain scores, postoperative hos-pital stay were observed and analyzed.Results The operative time was 155~182 min, with an average of 170 min;intraoperative bleeding was 85~100 ml, with an average of 94 ml;the postoperative fasting time was 24~48 h, with an average of 40 h;On the first postoperative day,the wound pain score was 2~4, with an average of 3.1 points;third postoperative day incision pain score was 1~2 points, with an average of 1.2 points;postoperative hospital stay was 6~8, with an average of 7.3 days.Conclusion This method has some superiorities, including less trauma, less patients′pain, less blood loss, faster recovery, fewer complications, a small incision pain, shorter hospital stay, and so on.It is the best choice for splenectomy patients.