腹腔镜探查在胃肠外科急诊中的应用效果及安全性评价  

Application effect and safety evaluation of laparoscopic exploration in emergency treatment in gastrointestinal surgery department

作　　者：高恒岭[1] 吕绪昆 李树亮[1] 李培哲[1] 张建先[1] 

机构地区：[1]山东省聊城市第二人民医院胃肠外科,山东临清252600

出　　处：《中国当代医药》2017年第26期30-32,共3页China Modern Medicine

摘　　要：目的探讨腹腔镜探查在胃肠外科急诊中的应用效果及安全性。方法选取2013年6月~2016年6月我院收治的156例胃肠外科急诊患者,随机分为研究组(75例)和对照组(81例)。对照组采取传统的剖腹探查术,研究组采取腹腔镜探查技术,观察记录并对比两组患者的术后并发症发生率、住院天数、术后开始下床活动时间、术中失血量以及手术时间等。结果研究组的并发症发生率为4.00%,显著低于对照组的13.58%,差异有统计学意义(P<0.05)。研究组的住院天数和术后开始下床活动时间显著短于对照组,差异有统计学意义(P<0.05)。研究组的术中失血量显著少于对照组,差异有统计学意义(P<0.05)。两组的手术时间比较,差异无统计学意义(P>0.05)。结论腹腔镜探查技术在胃肠外科急诊中的应用安全、有效,并发症发生率低,具有临床推广价值。Objective To explore the application efficacy and safety of laparoscopic exploration in emergency treatment in gastrointestinal surgery department.Methods A total of 156 patients admitted into our hospital from June 2013 to June 2016 were selected and randomly divided into the research group（75 cases） and the control group（81 cases）.In the control group,patients were performed with traditional laparotomy for exploration.In the research group,the laparoscopic exploration was applied.The incidence of postoperative complications,hospital stay,time to get out of bed after surgery,intraoperative blood loss,and operation time were observed,recorded,and compared in the two groups.Results The incidence of postoperative complications in the research group was 4.00%,which was significantly lower than that in the control group accounting for 13.58%,with a statistical difference（P〈0.05）.The hospital stay and time to get out of bed in the research group was shorter than that in the control group,with significant difference（P〈0.05）.The intraoperative blood loss in the research group was less than that in the control group,with a statistical difference（P〈0.05）.There was no statistical difference in operation time between the two groups（P〉0.05）.Conclusion The application of laparoscopic exploration in the emergency of gastrointestinal surgery is safe,and effective in a low incidence of complications,which has a clinical value for promotion.

关 键 词：腹腔镜探查 胃肠外科急诊 应用效果 安全性 

分 类 号：R656.1[医药卫生—急诊医学]