中国医药
中國醫藥
중국의약
CHINA MEDICINE
2013年
6期
813-814
,共2页
孙海东%魏茂提%穆霄燕%马程%王萌%高恩香
孫海東%魏茂提%穆霄燕%馬程%王萌%高恩香
손해동%위무제%목소연%마정%왕맹%고은향
腹腔镜%小肠破裂%创伤%微创
腹腔鏡%小腸破裂%創傷%微創
복강경%소장파렬%창상%미창
Laparoscopy%Intestinal rupture%Trauma%Minimal invasion
目的 初步探讨腹腔镜在治疗创伤性小肠破裂的优势及应用价值.方法 选定我院2010年7月至2012年7月间创伤性小肠破裂患者25例.根据术前腹部CT、彩色多普勒超声检查明确诊断并确定适应证,以腹腔肠系膜水肿、小肠间可见明显游离气体影及超声多普勒超声评估腹腔游离液体≤400 ml的病例作为腹腔镜组(8例),并选择同期开腹手术病例作为传统开腹组(17例).观察并比较2组患者手术时间、首次排气时间及切口感染率等指标.结果 腹腔镜组患者治疗后首次排气时间明显少于传统开腹组[(2.00 ±0.26)d比(2.94±0.18)d,P＜0.01].腹腔镜组和传统开腹组患者手术时间分别为(133.1±3.0)、(131.8±1.9)min,组间差异无统计学意义(P＞0.05).腹腔镜组患者手术切口感染率明显少于传统开腹组[0比47.1％ (8/17),P＜0.05].结论 在术前正确诊断的前提下,采用腹腔镜治疗创伤性小肠破裂方法可行.
目的 初步探討腹腔鏡在治療創傷性小腸破裂的優勢及應用價值.方法 選定我院2010年7月至2012年7月間創傷性小腸破裂患者25例.根據術前腹部CT、綵色多普勒超聲檢查明確診斷併確定適應證,以腹腔腸繫膜水腫、小腸間可見明顯遊離氣體影及超聲多普勒超聲評估腹腔遊離液體≤400 ml的病例作為腹腔鏡組(8例),併選擇同期開腹手術病例作為傳統開腹組(17例).觀察併比較2組患者手術時間、首次排氣時間及切口感染率等指標.結果 腹腔鏡組患者治療後首次排氣時間明顯少于傳統開腹組[(2.00 ±0.26)d比(2.94±0.18)d,P＜0.01].腹腔鏡組和傳統開腹組患者手術時間分彆為(133.1±3.0)、(131.8±1.9)min,組間差異無統計學意義(P＞0.05).腹腔鏡組患者手術切口感染率明顯少于傳統開腹組[0比47.1％ (8/17),P＜0.05].結論 在術前正確診斷的前提下,採用腹腔鏡治療創傷性小腸破裂方法可行.
목적 초보탐토복강경재치료창상성소장파렬적우세급응용개치.방법 선정아원2010년7월지2012년7월간창상성소장파렬환자25례.근거술전복부CT、채색다보륵초성검사명학진단병학정괄응증,이복강장계막수종、소장간가견명현유리기체영급초성다보륵초성평고복강유리액체≤400 ml적병례작위복강경조(8례),병선택동기개복수술병례작위전통개복조(17례).관찰병비교2조환자수술시간、수차배기시간급절구감염솔등지표.결과 복강경조환자치료후수차배기시간명현소우전통개복조[(2.00 ±0.26)d비(2.94±0.18)d,P＜0.01].복강경조화전통개복조환자수술시간분별위(133.1±3.0)、(131.8±1.9)min,조간차이무통계학의의(P＞0.05).복강경조환자수술절구감염솔명현소우전통개복조[0비47.1％ (8/17),P＜0.05].결론 재술전정학진단적전제하,채용복강경치료창상성소장파렬방법가행.
Objective To explore the application of laparoscopic treatment of traumatic intestinal rupture.Methods All 25 patients suffered from traumatic intestinal ruputure were selected.Diagnosis was performed using abdominal CT and color Doppler; the operation indication criteria included edema of celiaco-mesenteric,visible free gas shadow in the interspace of small intestine,free liquid with volume less than 400 ml in the abdominal cavity before operation.Eight patients in the operation were treated using laparoscopic skill which met the indication criteria and 17 control patients were treated using the ordinary operations which needed the incision of the abdomen.The operation time,the first fart time and the infection rate caused by the operation were observed and compared between two groups.Results The first fart time in laparoscopic group was shorten than that of open operation group [(2.00±0.26)d vs (2.94 ± 0.18)d,P ＜ 0.01].No infection caused by the operation in laparoscopic group were observed,however,in open operation group,8 cases (47.1％) had infections after the operation (P ＜ 0.05).Also,no difference of operation time were observed between laparoscopy group and open operation group [(133.1 ±3.0) min vs (131.8 ± 1.9) min,P ＞ 0.05].Conclusion Based upon right diagnosis,the laparoscopy is a feasible method in treating the traumatic intestinal rupture.
