CAJ | 학술논문

目的：对比腹腔镜脾切除术（LS）与开腹脾切除术（OS）在外伤性脾破裂治疗的临床疗效，探讨LS 的可行性、安全性。方法将45例外伤性脾破裂患者根据手术方式分为腹腔镜组（LS 组）和开腹组（OS 组）。LS 组18例，OS 组27例，比较2种术式的手术时间、手术出血量、术后肛门排气时间、术后住院时间以及并发症发生率。结果 LS 组的平均手术时间与OS 组差异无统计学意义（P＞0．05），手术出血量、术后肛门排气时间、术后住院时间以及并发症发生率均优于OS 组。差异有统计学意义（P＜0．05）。结论腹腔镜脾切除术治疗外伤性脾破裂的临床疗效优于传统开腹手术，在临床上是可行、安全有效的。
목적：대비복강경비절제술（LS）여개복비절제술（OS）재외상성비파렬치료적림상료효，탐토LS 적가행성、안전성。방법장45예외상성비파렬환자근거수술방식분위복강경조（LS 조）화개복조（OS 조）。LS 조18례，OS 조27례，비교2충술식적수술시간、수술출혈량、술후항문배기시간、술후주원시간이급병발증발생솔。결과 LS 조적평균수술시간여OS 조차이무통계학의의（P＞0．05），수술출혈량、술후항문배기시간、술후주원시간이급병발증발생솔균우우OS 조。차이유통계학의의（P＜0．05）。결론복강경비절제술치료외상성비파렬적림상료효우우전통개복수술，재림상상시가행、안전유효적。
Objective To compare curative effects of laparoscopic splenectomy and open splenectomy fracture treatment on traumatic spleen ,investigating the feasibility and safety of LS. Methods Forty-five cases of traumatic splenic rupture patients is divided into laparoscopy group (group LS, 18 cases) and open surgery group (group OS, 27 cases) according to the operation mode, Comparing two groups of operative time,.bleeding volume,.postoperative anal exhaust time,.postoperative hospitalization time and incidence of complications. Results The average operation time between of OS group and LS group is no statistically significant difference (P>0.05),.and the amount of hemorrhage,. postoperative anal exhaust time ,postoperative hospitalization time and incidence of complications are better than those of group OS..which was statistically significant (P<0.05). Conclusion The clinical curative effect of traumatic splenic rupture by laparoscopic splenectomy is better than the traditional open surgery , which is feasible , safe and effective on clinical.