后腹腔镜手术腹膜损伤时不同处理方法评价  

Evaluation of different management methods in retroperitoneal laparoscopic peritoneal injury

作　　者：全科立[1] 舒铁环[1] 向桂桥[1] 

机构地区：[1]南华大学附属怀化医院泌尿外科,湖南怀化418000

出　　处：《海南医学》2013年第7期978-979,共2页Hainan Medical Journal

摘　　要：目的评价后腹腔镜手术腹膜损伤时缝线缝合法、Hem-O-lock夹闭法及腹腔放气减压法的处理效果。方法 2008年2月至2012年3月行后腹腔镜肾根治性切除术时发生腹膜损伤48例,随机分三组,采用缝线缝合法、Hem-O-lock夹闭法、腹腔放气减压法恢复后腹腔空间。分别观察各组处理时间和术后血气分析pH值、下床活动时间。结果腹腔放气减压组与缝线缝合组、Hem-O-lock组在处理时间上比较差异有统计学意义(P<0.05),三组术后血气pH值比较和术后下床活动时间比较差异无统计学意义(P>0.05)。结论腹腔放气减压法能有效、经济、便捷地恢复腹膜损伤后的空间,有一定的应用价值。Objective To evaluate the effect of different management methods in retroperitoneal laparoscopic peritoneal injury. Methods From February 2008 to March 2012, 48 patients with peritoneal injury were randomly divided into three groups, and respectively used absorbable suture, Hem-o-lock and pneumoperitoneum decompression to recover retroperitoneal cavity. The treatment time,blood gas analysis PH and postoperative ambulation time were compared. Results The treatment time of pneumoperitoneum decompression group was shorter than those in the other two groups, with the statistically significant difference （P〈0.05）. The blood pH and postoperative ambulation time without statistical significance in three groups. Conclusion The pneumoperitoneum decompression can efficiently, economically and conveniently treat peritoneal injury.

关 键 词：后腹腔镜 腹膜后腔 并发症 腹膜损伤 

分 类 号：R656[医药卫生—外科学]