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《腹腔镜论文：手助腹腔镜脾切除门奇静脉断流术与开腹手术的临床对比研究》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。
1、腹腔镜论文：手助腹腔镜脾切除门奇静脉断流术与开腹手术的临床对比研究【中文摘要】通过与开腹脾切除门奇静脉断流术对比,探讨手助腹腔镜脾切除加门奇静脉断流术的临床应用前景和推广价值。方法：2008年1月至2009年6月,一个治疗小组对我院29例肝硬化并门静脉高压病人行手助腹腔镜脾切除加门奇静脉断流术,与同期29例门静脉高压病人行开腹手术进行对比分析。比较两组的手术时间、术中出血量、术后发热时间、术后排气时间、术后切口疼痛时间、术后住院时间,术后并发症,术后肝功能变化,术后再出血率等有无差异。结果：①围手术期临床指标比较结果：29
2、例手助腹腔镜脾切除加门奇静脉断流术获得成功。腹腔镜组手术时间为(143±42)min,开腹组为(211±47)min,腹腔镜组手术时间比开腹组短(P0.05)。③术后一年再出血率比较结果：腹腔镜组是3.4%(1例),开腹组是6.8%(2例),两组比较差异无统计学意义(P>0.05)。④肝功能比较结果：腹腔镜组术后第3天血总胆红素为(17.6±8.6)μmmol/L,开腹组术后第3天血总胆红素为(24.1±10.3)μmmol/L,腹腔镜组术后第3天血总胆红素比开腹组低(P0.05)。手助腹腔镜脾切除加门奇静脉断流术是安全可
3、行的,且比开腹手术具有微创性。【英文摘要】:ToevaluatetheclinicalapplicationvalueofthehandassistantlaparoscopicsplenectomyplusPorta-agygousdevascularizationbycomparingwiththeopenprocedure.Methods:FromJanuary2008toJune2009,29patientswithportalhypertensionweretreatedbyhandassistantlaparo
4、scopicsplenectomyplusporta-agygousdevascularization,29patientsweretreatedbylaparotomyonthesameterm.Thepurposewastocomparethetwogroups’clinicaloutcomesoftheoperativetime、hemorrhagevolume、fevertime、thetimeofrecoverpassgas、paintime、hospitalstay、thesurgicalcomplicatio
5、n、thepostoperativeliverfunction、therecurrencerateofhemorrhage.Results:①TheresultsoftheoperationsituationstudyAlltheoperationsweresuccessfullyproceeded.Theoperativetimewas(143±42)minutesinlaparoscopicsurgery(LS)and(211±47)minutesinopensurgery(OS),whichhadasignifica
6、ntdifferencebetweenthegroups(P0.05).③TherecurrencerateofhemorrhageduringoneyearTherecurrencerateofhemorrhagewas3.4%(1cases)inLSand6.8%(2cases)inOS,whichhadnosignificantdifferencebetweenthegroups(P>0.05).④TheresultsoftheliverfunctionstudyThepostoperativeTbilwas(17.
7、6±8.6)μmmol/LinLSand(24.1±10.3)μmmol/LinOS,whichhadasignificantdifferencebetweenthegroups(P0.05).Thehandassistantlaparoscopicsplenectomyplusporta-agygousdevascularizationisfeasibleandsafeforportalhypertensiontreatment,andhaslesstraumatothebody,betterthanlaparotomy
8、.【关键词】腹腔镜脾切除术门奇静脉断流术【英文关键词】laparoscopysplenectomyporta-agygousdevascularization【目录】手助腹腔镜脾切除门奇静脉断流术与开腹手术的临床对比研究摘要3-5ABSTRACT5-6第一章引言9-10第二章资料与方法10-142.1临
