中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2013年
6期
819-820
,共2页
腹腔镜检查%腹部损伤%胃肠道%损伤和创伤
腹腔鏡檢查%腹部損傷%胃腸道%損傷和創傷
복강경검사%복부손상%위장도%손상화창상
Laparoscopic%Abdominal injury%The gastrointestinal tract%Injury and trauma
目的 探讨腹腔镜在腹部创伤并胃肠道损伤诊治中的应用价值.方法 180例腹部创伤并胃肠道损伤患者随机分为三组,A组60例给予常规非手术治疗,B组90例给予腹腔镜探查手术治疗,C组30例给予开腹探查手术治疗.观察三组临床效果.结果 治疗后,A组痊愈32例、好转16例、无效12例、总有效率80.0％、住院时间(8±4)d,B组痊愈58例、好转30例、无效2例、总有效率97.8％、住院时间(8±3)d,C组痊愈19例、好转10例、无效1例、总有效率96.7％、住院时间(15±5)d,B组和C组与A组总有效率差异均有统计学意义(x2=13.45、4.50,均P＜0.05).C组住院时间时显长于A组、B组(t=5.24、3.34,均P＜0.05).结论 腹腔镜探查手术对腹部创伤并胃肠道损伤有较好的诊断及治疗作用,可缩短住院时间,改善患者的预后.
目的 探討腹腔鏡在腹部創傷併胃腸道損傷診治中的應用價值.方法 180例腹部創傷併胃腸道損傷患者隨機分為三組,A組60例給予常規非手術治療,B組90例給予腹腔鏡探查手術治療,C組30例給予開腹探查手術治療.觀察三組臨床效果.結果 治療後,A組痊愈32例、好轉16例、無效12例、總有效率80.0％、住院時間(8±4)d,B組痊愈58例、好轉30例、無效2例、總有效率97.8％、住院時間(8±3)d,C組痊愈19例、好轉10例、無效1例、總有效率96.7％、住院時間(15±5)d,B組和C組與A組總有效率差異均有統計學意義(x2=13.45、4.50,均P＜0.05).C組住院時間時顯長于A組、B組(t=5.24、3.34,均P＜0.05).結論 腹腔鏡探查手術對腹部創傷併胃腸道損傷有較好的診斷及治療作用,可縮短住院時間,改善患者的預後.
목적 탐토복강경재복부창상병위장도손상진치중적응용개치.방법 180례복부창상병위장도손상환자수궤분위삼조,A조60례급여상규비수술치료,B조90례급여복강경탐사수술치료,C조30례급여개복탐사수술치료.관찰삼조림상효과.결과 치료후,A조전유32례、호전16례、무효12례、총유효솔80.0％、주원시간(8±4)d,B조전유58례、호전30례、무효2례、총유효솔97.8％、주원시간(8±3)d,C조전유19례、호전10례、무효1례、총유효솔96.7％、주원시간(15±5)d,B조화C조여A조총유효솔차이균유통계학의의(x2=13.45、4.50,균P＜0.05).C조주원시간시현장우A조、B조(t=5.24、3.34,균P＜0.05).결론 복강경탐사수술대복부창상병위장도손상유교호적진단급치료작용,가축단주원시간,개선환자적예후.
Objective To explore of laparoscopic abdominal trauma used in the diagnosis and treatment of gastrointestinal tract injury.Methods 180 cases of abdominal trauma and gastrointestinal injury were randomly divided into three groups,A group of 60 cases was given conventional nonoperative treatment,B group of 90 cases was given laparoscopic exploration to surgical treatment,C group of 30 cases was open to probe the surgical treatment.The clinical effect of three groups was observed.Results After treatment,A group of recovered 32 cases,improvement in 16 cases,invalid in 12 cases,the total effective rate 80.0％,length of hospital stay (8 ±4)d,B group healed 58 cases,30 cases improved,invalid in 2 cases,the total effective rate 97.8％,length of hospital stay (8 ± 3) d,C group of 19 cases were healed,better 10 cases,1 case ineffective,the total effective rate 96.7％,length of hospital stay (15 ± 5) d,A,B and C group total effective rate differences were statistically significant (x2 =13.45,4.50,all P ＜0.05).C group hospitalization time was longer than that in A,B group (t =5.24,3.34,all P ＜ 0.05).Conclusion Laparoscopic exploration surgery for abdominal trauma and gastrointestinal injury has better diagnosis and treatment effect,which can reduce the time in hospital to improve the prognosis of patients.
