腹腔镜早期探查与剖腹探查在钝性腹部外伤中的应用价值比较  

Comparison of laparoscopic and laparotomy for early detection and application value in blunt abdominal trauma

作　　者：林正清[1] 林彬生[1] 

机构地区：[1]350009,福建省福州市第一医院普外科

出　　处：《中国临床实用医学》2014年第1期-,共2页China Clinical Practical Medicine

摘　　要：目的 比较在钝性腹部外伤中,腹腔镜早期探查和传统的剖腹探查术的应用价值.方法 选择2007年3月至2012年10月福州市第一医院收治的腹部钝性外伤患者96例,分为腹腔镜探查组和剖腹探查组,观察患者术后恢复时间、心电监护时间、氧气吸入时间、术后并发症及死亡率等.结果 腹腔镜探查组的患者术后心电监护时间等相对于对照组,(心电监护时间)t=17.506(P＜0.01).(持续吸氧时间)t=5.582(P＜0.01),术后恢复时间相比对照组t=14.756(P＜0.01),具有明显统计学差异意义.而术后并发症相比对照组x2=7.253(P＜0.05).腹腔镜组死亡10.00％,而对照组患者术后死亡为14例(30.42％),x2=4.608,P＜0.05.结论 腹腔镜探查早期介入手术治疗可有效降低患者的术后死亡率与并发症发生率,减少患者的术后恢复时间及心电监护时间,减轻了患者的经济负担,提高了生活质量.Objective To compare in blunt abdominal trauma,the application value of laparoscopic early detection and traditional laparotomy compared.Methods from 2007 March-2012 year in October at the Institute for 96 cases of blunt abdominal trauma patients,divided into laparoscopy group and laparotomy group,to observe the postoperative recovery time,ECG monitoring time oxygen inhalation time,postoperative complications and mortality.Results laparoscopic exploration group of patients postoperative ECG monitoring time,compared with the control group,(ECG monitoring time)t=17.506 (P＜0.01).(continuous oxygen time) t=5.582 (P＜0.01),postoperative recovery time compared to the control group,t=14.756 (P＜0.01),with significant statistical difference significance.The postoperative complications compared with those in control group (P＜0.05 x2=7.253).The laparoscopic group died in 10％,while the control group patients died after operation in 14 cases (30.42％),x2=4.608,P＜0.05.Conclusion laparoscopy operation early interventional therapy can effectively reduce the mortality of patients after operation,complications,time and ECG monitoring time recovery to improve the postoperative patients,monitoring time,reduce the economic burden of the patients,improve the quality of life.

关 键 词：钝性腹部外伤 腹腔镜 剖腹探查术 

分 类 号：R656[医药卫生—外科学]