医学临床研究
醫學臨床研究
의학림상연구
Journal of Clinical Research
2015年
8期
1568-1570
,共3页
脾切除术/方法%结扎术/仪器和设备%止血%手术后并发症
脾切除術/方法%結扎術/儀器和設備%止血%手術後併髮癥
비절제술/방법%결찰술/의기화설비%지혈%수술후병발증
Splenectomy/MT%Ligation/IS%Hemostasis%Postoperative Complications
【目的】探讨脾脏切除术中应用可吸收止血结扎夹的临床疗效及其应用价值。【方法】选择2013年1月至2014年7月本院收治的接受脾脏切除术的52例患者，根据止血方法的差异分为观察组(22例)，术中应用人工合成可吸收止血结扎夹；对照组(30例)，术中应用常规丝线打结止血。比较两组的手术时间、住院时间、术中输血量、术后引流量的差异。随访1个月，比较两组患者的二次手术发生率及腹腔积液、腹腔感染、出血等并发症的发生率差异。【结果】与对照组比较，观察组的手术时间、住院时间、术中输血量及术后引流量均显著较少(均 P <0.05)。随访1个月，观察组患者的二次手术发生率及各种并发症的发生率均显著低于对照组(均 P <0.05)。【结论】在脾脏切除术中应用可吸收止血结扎夹具有较好的安全性，缩短了手术及住院时间，减少了术后并发症，具有较好的临床疗效，是一种值得推广的止血方法。
【目的】探討脾髒切除術中應用可吸收止血結扎夾的臨床療效及其應用價值。【方法】選擇2013年1月至2014年7月本院收治的接受脾髒切除術的52例患者，根據止血方法的差異分為觀察組(22例)，術中應用人工閤成可吸收止血結扎夾；對照組(30例)，術中應用常規絲線打結止血。比較兩組的手術時間、住院時間、術中輸血量、術後引流量的差異。隨訪1箇月，比較兩組患者的二次手術髮生率及腹腔積液、腹腔感染、齣血等併髮癥的髮生率差異。【結果】與對照組比較，觀察組的手術時間、住院時間、術中輸血量及術後引流量均顯著較少(均 P <0.05)。隨訪1箇月，觀察組患者的二次手術髮生率及各種併髮癥的髮生率均顯著低于對照組(均 P <0.05)。【結論】在脾髒切除術中應用可吸收止血結扎夾具有較好的安全性，縮短瞭手術及住院時間，減少瞭術後併髮癥，具有較好的臨床療效，是一種值得推廣的止血方法。
【목적】탐토비장절제술중응용가흡수지혈결찰협적림상료효급기응용개치。【방법】선택2013년1월지2014년7월본원수치적접수비장절제술적52례환자，근거지혈방법적차이분위관찰조(22례)，술중응용인공합성가흡수지혈결찰협；대조조(30례)，술중응용상규사선타결지혈。비교량조적수술시간、주원시간、술중수혈량、술후인류량적차이。수방1개월，비교량조환자적이차수술발생솔급복강적액、복강감염、출혈등병발증적발생솔차이。【결과】여대조조비교，관찰조적수술시간、주원시간、술중수혈량급술후인류량균현저교소(균 P <0.05)。수방1개월，관찰조환자적이차수술발생솔급각충병발증적발생솔균현저저우대조조(균 P <0.05)。【결론】재비장절제술중응용가흡수지혈결찰협구유교호적안전성，축단료수술급주원시간，감소료술후병발증，구유교호적림상료효，시일충치득추엄적지혈방법。
[Objective]To explore the clinical value of the absorbable hemostatic clamps in splenectomy.[Methods]A total of 52 patients undergoing splenectomy in our hospital from Jan.2013 to July 2014 were cho-sen.According to the difference of hemostatic methods,all patients were divided into observation group(n =22)receiving synthetic absorbable hemostatic clips in operation and control group(n =30)receiving the rou-tine knotted hemostasis with silk in operation.The operation time,hospital stay,intraoperative blood transfu-sion amount and postoperative drainage were compared between two groups.During 1 month of follow-up,the occurrence of reoperation and the complications such as seroperitoneum,abdominal infection and hemorrhage were compared between two groups.[Results]Compared to control group,the operation time,hospital stay, intraoperative blood transfusion amount and postoperative drainage in experimental group were lower signifi-cantly(P<0.05).During 1 month of follow-up,the occurrence of reoperation and the complications such as se-roperitoneum,abdominal infection and hemorrhage in experimental group were significantly lower than those in control group(P <0.05).[Conclusion]The absorbable hemostatic clips in splenectomy is very safe,which can shorten the time of surgery and hospitalization and reduce the postoperative complications.It has good clin-ical efficacy,so it is a kind of method for hemostasis and worth promoting.
