开腹脾切除与腹腔镜治疗外伤性脾破裂的临床效果对比.doc

精品论文 参考文献 开腹脾切除与腹腔镜治疗外伤性脾破裂的临床效果对比 李国莉 　　（蒲江县人民医院 四川 成都 611630） 　　【摘要】 目的：对比外伤性脾破裂采用腹腔镜、开腹脾切除进行治疗的临床效果。方法：抽取我院2013年12月～2014年12月收治的78例外伤性脾破裂患者，分成观察组与对照组，对照组采用开腹脾切除手术进行治疗，观察组采用腹腔镜进行治疗，对比两组患者手术有效性。结果：观察组住院时间、术后肛门排气时间、下床活动时间明显少于对照组（P＜0.05）；观察组与对照组并发症发生率分别为7.69%、20.51%，观察组并发症较低（P＜0.05）。结论：外伤性脾破裂患者采用腹腔镜手术进行治疗，具有术后恢复快、创伤小、安全性高等优势，可加快患者疾病痊愈速度，值得临床推广应用。 　　【关键词】 开腹脾切除术；腹腔镜手术；外伤性脾破裂 　　【中图分类号】R615 【文献标识码】A 【文章编号】2095-1752（2016）24-0059-02 　　Comparison of clinical effects of open splenectomy and laparoscopic splenectomy in the treatment of traumatic splenic rupture 　　Li Guoli. The Peoples Hospital of Pujiang County, Sichuan Province, Chengdu 611630, China 　　【Abstract】Objectives To compare the clinical effect of laparoscopic and open splenectomy in the treatment of traumatic rupture of spleen. Methods 78 cases of traumatic rupture of spleen were selected from December 2013 to December in our hospital. The patients were divided into observation group and control group. The control group was treated by open splenectomy operation. The observation group was treated by laparoscopic treatment, and compared with the operation effectiveness of the two groups. Results The observation group was significantly less than the control group (P lt; 0.05). The incidence of complications in observation group and control group was 7.69%, 20.51%, and the observation group was lower (P lt; 0.05). Conclusion The treatment of traumatic rupture of spleen in patients with laparoscopic surgery has advantages of rapid recovery, less trauma, safety, can accelerate the recovery of patients with disease, it is worth clinical application. 　　【Key words】Open splenectomy; Laparoscopic operation; Traumatic splenic rupture 　　普外科常见急腹症中外伤性脾破裂具有较高的发病率，在腹部损伤中大概占据20%～40%的概率，其解剖位置相对特殊，选择并发症少、安全有效的手术方式对患者进行治疗是临床医学者需要探讨的主要问题[1]。本文分别对比腹腔镜手术、开腹脾切除术治疗外伤性脾破裂的效果，现总结如下。 　　1.资料与方法 　　1.1 一般资料 　　本组研究数据均来自2013年12月～2014年12月到我院接受治疗的外伤性脾破裂患者78例，男58例，女70例，最小年龄15岁，最大年龄60岁，平均年龄（42.3plusmn;3.2）岁