中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
32期
32-33
,共2页
王昌松%赵少勇%蒋晓忠%黄斌%周文浩
王昌鬆%趙少勇%蔣曉忠%黃斌%週文浩
왕창송%조소용%장효충%황빈%주문호
腹腔镜巨脾切除%断流术%肝硬化门静脉高压症
腹腔鏡巨脾切除%斷流術%肝硬化門靜脈高壓癥
복강경거비절제%단류술%간경화문정맥고압증
Laparoscopic huge splenectomy%Devascularization%Cirrhotic portal hypertension
目的:观察LS治疗肝硬化门静脉高压症的临床效果。方法:收治肝硬化门静脉高压症患者80例,根据不同治疗方案分为两组各40例,对照组给予传统开腹治疗,研究组给予LS加断流术治疗,对比两组手术有效性指标与并发症发生率。结果:研究组术中出血量、术后引流量少于对照组,且手术时间、术后肛门排气时间及住院时间均短于对照组(P<0.05);研究组并发症发生率均低于对照组(P<0.05)。结论:LS 加断流术治疗肝硬化门静脉高压症疗效显著,具微创性,可有效促进患者术后康复。
目的:觀察LS治療肝硬化門靜脈高壓癥的臨床效果。方法:收治肝硬化門靜脈高壓癥患者80例,根據不同治療方案分為兩組各40例,對照組給予傳統開腹治療,研究組給予LS加斷流術治療,對比兩組手術有效性指標與併髮癥髮生率。結果:研究組術中齣血量、術後引流量少于對照組,且手術時間、術後肛門排氣時間及住院時間均短于對照組(P<0.05);研究組併髮癥髮生率均低于對照組(P<0.05)。結論:LS 加斷流術治療肝硬化門靜脈高壓癥療效顯著,具微創性,可有效促進患者術後康複。
목적:관찰LS치료간경화문정맥고압증적림상효과。방법:수치간경화문정맥고압증환자80례,근거불동치료방안분위량조각40례,대조조급여전통개복치료,연구조급여LS가단류술치료,대비량조수술유효성지표여병발증발생솔。결과:연구조술중출혈량、술후인류량소우대조조,차수술시간、술후항문배기시간급주원시간균단우대조조(P<0.05);연구조병발증발생솔균저우대조조(P<0.05)。결론:LS 가단류술치료간경화문정맥고압증료효현저,구미창성,가유효촉진환자술후강복。
Objective:To observe the clinical effect of LS in the treatment of cirrhotic portal hypertension.Methods:80 patients with cirrhotic portal hypertension were selected.According to the different treatment schedules,they were divided into two groups with 40 cases in each.The control group was given the traditional laparotomy treatment.The study group was given LS plus devascularization treatment.The surgery effectiveness indexes and complication incidence rates of two groups were compared. Results:The intraoperatve blood soss and postoperative drainage volume of the study group were less than those of the control group,and the operation time and postoperative anal exhaust time and hospitalization time were shorter than those of the control group(P<0.05).The complication incidence rate of the study group was lower than that of the control group(P<0.05).Conclusion:LS plus devascularization in the treatment of cirrhotic portal hypertension has a significant curative effect,has minimally invasive, can effectively promote the postoperative rehabilitation of patients.