腹腔镜探查技术在结直肠穿孔诊治中的应用  

Application of Laparoscopy in the Diagnosis and Treatment of Colorectal Perforation

作　　者：蒋光富[1] 陈尚武[1] 罗锐[1] 

机构地区：[1]广安市人民医院普外二病区,四川广安638000

出　　处：《锦州医科大学学报》2017年第1期56-57,73,共3页Journal of Jinzhou Medical University

摘　　要：目的探讨分析腹腔镜探查技术在结直肠穿孔诊治中的应用。方法选取2014年1月至2016年7月我院收治的结直肠穿孔患者60例作为本次研究对象,随机将患者分为对照组和观察组,每组各30例。对照组患者行开腹手术进行结直肠穿孔诊治,观察组患者行腹腔镜手术诊治结直肠穿孔,比较两组患者的临床诊治效果。结果对照组患者的手术时间、术中出血量、术后排气时间及术后排便时间等相关指标分别为(155.47±38.30)min、(39.33±8.15)m L、(4.64±0.96)d、(8.06±0.89)d。观察组患者的手术时间、术中出血量、术后排气时间及术后排便时间等相关指标分别为(208.72±46.10)min、(27.91±7.31)m L、(3.56±1.12)d、(7.09±0.64)d。观察组患者的术中出血量、术后排气时间及术后排便时间等均少于对照组,而手术时间多于对照组,以P<0.05为两组比较差异有统计学意义。结论腹腔镜探查技术在结直肠穿孔诊治中,除手术时间超过外,其它术中出血量、术后排气时间及术后排便时间等相关指标均要少于传统开腹诊治手术,具有非常好的临床应用价值。Objective To analyze the application of laparoscopic exploration in the diagnosis and treatment of colorectal perforation. Methods 60 cases treated in our hospital from January 2014 to July 2016 were selected as study objects and the patients were divided into the observation group and the control group at random. Each group had 30 patients. In the treatment of colorectal perforation, laparotomy was performed in the observation group and laparoscopic surgery in the control group. Then, the effects of clinical treatment between the two groups were compared. Results In the control group, related indicators such as the operation time, intraoperative amount of bleeding, postoperative exhaust time, postoperative defecation time were （ 155.47±38. 30） min, （39. 33±8.15） mL, （4. 64±0. 96） d and （8. 06±0. 89） d respectively. In the observation group, the indicators were （208.72±46. 10） min, （27.91±7.31） mL, （3.56±1.12） d and （7.09±0. 64） d respectively. Indicators such as the intraoperative amount of bleeding, postoperative exhaust time, postoperative defecation time of the observation group were less than those in the control group while the op- eration time in the observation group was longer than that of the control group. The differences between two groups were statistically significant （ P〈0. 05 ）. Conclusion Except the operation time, indicators including the intraoperative amount of bleeding, postoperative exhaust time, postoperative defecation time of laparoscopic exploration are less than those in the laparotomy. Therefore, laparoscopic exploration has great value of clinical application.

关 键 词：腹腔镜探查技术 结直肠穿孔 诊治 

分 类 号：R616.2[医药卫生—外科学]