中国卫生标准管理
中國衛生標準管理
중국위생표준관리
CHINA HEALTH STANDARD MANAGEMENT
2015年
15期
77-79
,共3页
腹腔镜脾切除%脾脏占位%开腹脾切除
腹腔鏡脾切除%脾髒佔位%開腹脾切除
복강경비절제%비장점위%개복비절제
Laparoscopic splenectomy%Splenic masses%Conventional splenectomy
目的：对比研究腹腔镜脾切除术与开腹脾切除术治疗脾脏占位的临床效果。方法收集我院收治的44例脾脏占位患者，其中腹腔脾切除22例，开腹脾切除22例，回顾分析比较腔镜组与开腹组的围手术期结果。结果21例（95.4%）成功完成腹腔镜脾切除术，1例（4.6%）中转开腹。腹腔镜组手术时间为（194.86±55.66）min，明显长于开腹组（129.55±48.40）min，腹腔镜组术中出血量（49.77±68.57）ml少于开腹组（178.18±198.13）ml，术后进食时间（1.77±1.54）d早于开腹组（3.82±0.85）d，差异有统计学意义（P<0.05）。术中输血次数、术后住院时间、术后镇痛次数、术后引流管拔除时间、术后并发症发生率的比较，两组间差异无统计学意义。结论腹腔镜下脾切除术诊断和治疗脾脏占位性病变是安全可行的。
目的：對比研究腹腔鏡脾切除術與開腹脾切除術治療脾髒佔位的臨床效果。方法收集我院收治的44例脾髒佔位患者，其中腹腔脾切除22例，開腹脾切除22例，迴顧分析比較腔鏡組與開腹組的圍手術期結果。結果21例（95.4%）成功完成腹腔鏡脾切除術，1例（4.6%）中轉開腹。腹腔鏡組手術時間為（194.86±55.66）min，明顯長于開腹組（129.55±48.40）min，腹腔鏡組術中齣血量（49.77±68.57）ml少于開腹組（178.18±198.13）ml，術後進食時間（1.77±1.54）d早于開腹組（3.82±0.85）d，差異有統計學意義（P<0.05）。術中輸血次數、術後住院時間、術後鎮痛次數、術後引流管拔除時間、術後併髮癥髮生率的比較，兩組間差異無統計學意義。結論腹腔鏡下脾切除術診斷和治療脾髒佔位性病變是安全可行的。
목적：대비연구복강경비절제술여개복비절제술치료비장점위적림상효과。방법수집아원수치적44례비장점위환자，기중복강비절제22례，개복비절제22례，회고분석비교강경조여개복조적위수술기결과。결과21례（95.4%）성공완성복강경비절제술，1례（4.6%）중전개복。복강경조수술시간위（194.86±55.66）min，명현장우개복조（129.55±48.40）min，복강경조술중출혈량（49.77±68.57）ml소우개복조（178.18±198.13）ml，술후진식시간（1.77±1.54）d조우개복조（3.82±0.85）d，차이유통계학의의（P<0.05）。술중수혈차수、술후주원시간、술후진통차수、술후인류관발제시간、술후병발증발생솔적비교，량조간차이무통계학의의。결론복강경하비절제술진단화치료비장점위성병변시안전가행적。
ObjectiveThis study aims to compare the clinical efficacy of laparoscopic splenectomy and conventional splenectomy for splenic masses.Methods We performed a retrospective chart review of 44 cases splenic masses in our institution, of which 22 were laparoscopic splenectomy and 22 were open splenectomy. Perioperative results were analysed.ResultsLS was successfuly achieved in al patients except one (4.6%). Laparoscopic splenectomy took more time (P< 0.05), the estimated blood loss was significantly less in LS patients than in OS patients (P< 0.05). Patients in LS group were alowed to resume oral intake earlier (P< 0.001). The differences between the two groups were not statisticaly significant in terms of frequency of intraoperative transfusion, postoperative hospital stay, frequency of pain requiring analgesia, time of extration of drainage tube, and postoperative complication.Conclusion Laparoscopic splenectomy is a safe and feasible and procedure for the diagnosis and treatment of patients with splenic masses.
