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ID:56061832
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页数:4页
时间:2020-06-20
《腹腔镜与开腹远端胃癌根治术疗效及对凝血功能影响的对比研究.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、【摘要】目的对比腹腔镜与开腹远端胃癌根治术的疗效及对凝血功能的影响。方法选取行腹腔镜远端胃癌根治术的患者56例(观察组)及同期开腹远端胃癌根治术患者56例(对照组)。对两组患者的术中及术后情况、淋巴结清扫数目、并发症等进行比较分析,并检测比较两组患者术前、术后24h凝血酶原国际标准化值(INR)、凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)、D一二聚体(D—D)以及纤维蛋白原(FIB)水平。结果观察组手术时间长于开腹组,而术中出血量、切1:3长度、术后首次肛门排气时间、术后镇痛药使用次数、住院时间均少于开腹组,差异均有统计学意义(均P
2、<0.01o与手术前比较,仅观察组患者PT显著延长,差异有统计学意义(P3、症,应予以重视。【关键词】胃癌胃切除术腹腔镜凝血功能ComparisonoflaparoscopicassistedwithopendistalgastrectomyforpatientswithgastriccancerXUJi,WUFang,N/Haibin,eta/.DepartmentofGastrointestinalSurgery.Z.heiiangProvincialPeopleSHospita1.Huagzhou310014China【Abstract】ObjectiveTocomparetheclinicaleffectsbe4、tweenlaparoscopicassistanceandopendistalgastrectomyforpatientswithgastriccancerMethodsFiftysixpatientswithgastriccancerunderwentlaparoscopicassistancedistalgastrecto——my(groupL)and56casesreceivedopendistalgastrectomy(groupO)wereincludedinthestudyTheintraoperativeandpost—oper5、ativeinformation,thenumberofdissectedlymphnodes,postoperativecomplicationswerecomparedbetweentwogroupsTheprothrombininternationalnormalizedvalue(INR),prothrombintime(PT),activatedpartialthromboplastintime(APTT),D—dimerandfibrinogen(FIB)levelsweremeasuredbeforeandafteroperati6、oninbothgroupsResultsTheoperativetimeingroupLwassignificantlylongerthanthatingroupO.However,themeanbloodloss,thefrequencyofanalgesicsuseafteroperationwerelessandfirstflatustime,totalhospitalstaywereshorteringroupLthanthoseingroupO(allP<001).Thepostoperativeprothrombintime(PT7、)wassignificantlyincreasedthanthatbeforeoperationingroupL(P8、IB)levelsingroupLweresignificantlyhigherthanthoseingroupO(P<005)Thepostoper
3、症,应予以重视。【关键词】胃癌胃切除术腹腔镜凝血功能ComparisonoflaparoscopicassistedwithopendistalgastrectomyforpatientswithgastriccancerXUJi,WUFang,N/Haibin,eta/.DepartmentofGastrointestinalSurgery.Z.heiiangProvincialPeopleSHospita1.Huagzhou310014China【Abstract】ObjectiveTocomparetheclinicaleffectsbe
4、tweenlaparoscopicassistanceandopendistalgastrectomyforpatientswithgastriccancerMethodsFiftysixpatientswithgastriccancerunderwentlaparoscopicassistancedistalgastrecto——my(groupL)and56casesreceivedopendistalgastrectomy(groupO)wereincludedinthestudyTheintraoperativeandpost—oper
5、ativeinformation,thenumberofdissectedlymphnodes,postoperativecomplicationswerecomparedbetweentwogroupsTheprothrombininternationalnormalizedvalue(INR),prothrombintime(PT),activatedpartialthromboplastintime(APTT),D—dimerandfibrinogen(FIB)levelsweremeasuredbeforeandafteroperati
6、oninbothgroupsResultsTheoperativetimeingroupLwassignificantlylongerthanthatingroupO.However,themeanbloodloss,thefrequencyofanalgesicsuseafteroperationwerelessandfirstflatustime,totalhospitalstaywereshorteringroupLthanthoseingroupO(allP<001).Thepostoperativeprothrombintime(PT
7、)wassignificantlyincreasedthanthatbeforeoperationingroupL(P8、IB)levelsingroupLweresignificantlyhigherthanthoseingroupO(P<005)Thepostoper
8、IB)levelsingroupLweresignificantlyhigherthanthoseingroupO(P<005)Thepostoper
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