腹腔镜辅助小切口与开腹脾切除术治疗血液系统疾病的临床对比研究  

Comparative study on laparoscopic adding small incision splenectomy and splenectomy in the treatment of haematologic disease

作　　者：李波[1] 亓玉忠[1] 刘佳宁[1] 刘斌[1] 

机构地区：[1]山东大学第二医院普外科,济南250033

出　　处：《中华腔镜外科杂志（电子版）》2011年第1期5-7,共3页Chinese Journal of Laparoscopic Surgery(Electronic Edition)

摘　　要：目的比较腹腔镜辅助小切口与开腹脾切除术治疗血液系统疾病的近期临床效果。方法回顾分析1993年10月至2009年12月腹腔镜辅助小切口脾切除术51例(腹腔镜组)和同期开腹脾切除术56例(开腹组)患者的临床资料,比较两种术式的手术时间、术中出血量、术后排气时间、术后下地活动时间、并发症发生率、术后住院时间及术后住院总费用。结果腹腔镜组的平均手术时间、术后住院费用与开腹组差异无统计学意义(P>0.05)。术中出血量、术后排气时间、术后下地活动时间、术后住院时间及并发症发生率均优于开腹组,差异有统计学意义(P<0.05)。结论腹腔镜辅助小切口脾切除术的近期效果明显优于传统开腹手术,具有微创、安全、有效、恢复快等优点,值得推广应用。Objective To compare the clinical effect of laparoscopic adding small incisions splenectomy and splenectomy in the treatment of haematologic disease.Methods The clinical data of 51 cases of laparoscopic adding small incision splenectomy and 56 cases of splenectomy from Oct 1993 to Dec 2009 were retro-spectively analysed.Results The mean operation time was longer in the laparoscopic group than that in the open group（205 min vs.152 min,P 0.05）,the laparoscopic group decreased significantly in blood loss（620 ml vs.915 ml）,the mean time of bowel function recovery（77 h vs.97 h）,incidence of complications and postoperative hospitalization（12 d vs.16 d,P 0.05） than the open group.There was no significance between the two groups in the mean operation time and expense of hospitalization（P 0.05）.Conclusions Clinical effects of patients treated by laparoscopic adding small incision splenectomy were better than those treated by open splenectomy.Laparoscopic adding small incision splenectomy has advantages of microinvasive,safety,effective and quick recovery in the treatment of haematologic diseases.

关 键 词：腹腔镜 血液疾病 脾切除术 

分 类 号：R657.6[医药卫生—外科学]