腹腔镜技术诊治难治性消化道出血的临床价值  

Clinical value of laparoscopic technique in the diagnosis and treatment of refractory gastrointestinal bleeding

作　　者：钟克力 潘凯 夏利刚 陈杰 林烈文 李明伟 杨明利 

机构地区：[1]深圳市人民医院,广东深圳518020

出　　处：《腹腔镜外科杂志》2013年第1期31-33,共3页Journal of Laparoscopic Surgery

摘　　要：目的:探讨腹腔镜技术诊治难治性消化道出血的临床应用价值。方法:回顾分析2001年3月至2012年3月收治的24例小肠出血患者的临床资料,其中14例行剖腹探查术(开腹组),10例行腹腔镜探查术(腹腔镜组),对比分析两组患者手术时间、术中失血量、术后肠功能恢复时间、术后住院时间、术后疼痛指数等指标。结果:腹腔镜组2例中转开腹。手术时间、术中失血量、术后肠功能恢复时间、术后住院时间、术后疼痛指数等腹腔镜组均优于开腹组。结论:腹腔镜技术在难治性消化道出血的定位诊断与手术处理方面具有明显的微创优势,但对于病灶微小的消化道出血仍存有不足。Objective：To investigate the clinical value of laparoscopic technique in diagnosis and treatment of refractory gastrointestinal bleeding.Methods：The clinical data of twenty-four patients with small intestinal bleeding undergoing surgical treatment from Mar.2001 to Mar.2012 was analyzed retrospectively.14 cases underwent laparotomy,and 10 cases underwent laparoscopy.The data of the operative time,blood loss,recovery time of intestinal function,post-operative hospital stay and pain scores were collected and comparatively analysed.Results：Two cases in laparoscopic group were converted to open surgery.The laparoscopic group had less blood loss,less pain,shorter recovery time of intestinal function,shorter operative time and shorter hospital stay than open group.Conclusions：Laparoscopy has advantages of better anatomical diagnosis and management of refractory gastrointestinal bleeding,but it is not suitable for tiny lesions.

关 键 词：小肠出血 腹腔镜检查 剖腹术 诊断 治疗 对比研究 

分 类 号：R656.7[医药卫生—外科学]