欢迎来到天天文库
浏览记录
ID:55684595
大小:219.08 KB
页数:3页
时间:2020-05-24
《腹腔镜与开腹脾切除术治疗血吸虫性肝硬化致脾功能亢进的比较.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、全科医学l临床与教育2014年5月第12卷第3期ClinicalEducationofGeneralPracticeMay2014,Vo1.12,No.3·253·论著·厶腹腔镜与开腹脾切除术,口7-r血吸虫性肝硬化致脾功能亢进的比较赵红欣周鸿鲲张浩徐鹿平谢琦【摘要1目的探讨腹腔镜脾切除术治疗血吸虫性肝硬化引起的脾功能亢进的临床应用价值。方法对5O例血吸虫性肝硬化脾亢患者行脾切除术,其中腹腔镜组(A组)31例行完全腹腔镜手术,开腹组(B组)19例行传统开腹手术。比较两组患者的手术时间、术中出血量、术后住院时间、术后
2、ld切口疼痛评分、术后3d超敏C反应蛋白(hs—CRP)及引流液淀粉酶(Amy)、术后7d血小板计数(Ph)、白细胞计数(WBC)。结果A组成功完成腹腔镜手术29例.中转开腹2例。A组手术时间较B组长,术后1d切口疼痛评分、术后住院时间及术后3dhs—CRP、Amv指标A组均小于B组,差异具有统计学意义(£分别=3.21、5.10、7.16、3.00、1.74,P均<0.05),而两组术中出血量、术后7dPlt、WBC差异均无统计学意义(£分别=1.47、1.02、0.67,P均>0.05)。结论采用腹腔镜脾切除术
3、治疗血吸虫性肝硬化患者脾功能亢进是安全有效的。相对传统开腹手术而言,具有创伤小、恢复快,住院时间缩短,并发症少,术后疼痛轻等优点。『关键词]腹腔镜;脾切除术;血吸虫性肝硬化;脾功能亢进ComparisonoflaparoscopicsplenectomyandopensplenectomyforhypersplenismcausedbyschistosomalcirrhosisZHAOHongxin,ZHOUHongkun,ZHANGHao,eta1.DepartmentofGeneralSurgery,TheSe
4、condPeopleSHospitalofJi—ashan,Jiashan314102,China【Abstract】ObjectiveToinvestigatethevalueoflaparoscopicsplenectomy(LS)forhypersplenismcausedbyschistosomalcirrhosis.MethodsFiftyhypersplenismpatientsdividedtotwogroups,thepatientsofgroupLS(groupA)acceptedlaparosc
5、opicsplenectomy,andthepatientsofgroupOS(groupB)acceptedopensplenectomy(os).Thetermssuchasoperationduration,theestimatedbloodloss,postoperativehospitalstay,thescoreofincisionpainon1dayafteroperation,hs—CRPandamylaselevelon3daysafteroperation,PlateletcountandWBC
6、levelon7daysafteroperationwerecomparedbetweenthegroups.ResultsTwentyninecasesofgroupAwerecompletedunderlaparoscopyand2caseswereconvertedtoopensurgery.OperationdurationofgroupAwaslongerthanthatofthegroupB;thescoreofincisionpainon1dayafteroperation,hs-CRPandamyl
7、aselevelon3daysafteroperationwerebetterthanthoseofthegroupB(=3.2I,5.10,7.16,3.O0,1.74,P0.05).ConclusionItissafeandeffectiveofL
8、Stotreathypersplenismcausedbyschistosomalcirrhosis.Ithasadvantagesoffewertraumasandpostoperativepain,quickerrecovery,shorterhospitalstayandtewercomplications.【Keywords】laparoscopy;
此文档下载收益归作者所有