腹腔镜技术在胃肠外科急腹症患者治疗中的效果分析  

Effect Analysis of Laparoscopic Technique in the Treatment of Acute Abdomen in Gastrointestinal Surgery

作　　者：刘鹏 李涛 王斌 LIU Peng;LI Tao;WANG Bin(Department of General Surgery,University Town Branch,Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan,Shandong Province,250300 China)

机构地区：[1]山东省中医药大学附属医院大学城院区普外科,山东济南250300

出　　处：《中外医疗》2023年第13期42-45,共4页China & Foreign Medical Treatment

摘　　要：目的 研究在胃肠外科急腹症患者治疗中应用腹腔镜技术的临床效果。方法 随机选取2019年10月—2020年10月于山东省中医药大学附属医院大学城院区接受治疗的80例急腹症患者作为研究对象,经随机数表法均分为两组,其中,单数对应的40例患者为对照组,双数对应的40例患者为观察组,对照组采用传统开腹手术治疗,观察组采用腹腔镜下微创手术治疗。比较两组围术期指标、并发症发生情况。结果 观察组手术时间长于对照组,但术中出血量更少、肠胃功能恢复时间更短,差异有统计学意义(P<0.05)。观察组并发症发生率为5.00%,低于对照组的22.50%,差异有统计学意义(χ^(2)=5.165,P<0.05)。结论 腹腔镜下治疗急腹症患者术中出血量更少、创伤更小,治疗后患者肠胃功能恢复更快、并发率更低,临床价值更高,建议加以推广。Objective To study the clinical effect of laparoscopy in the treatment of acute abdomen in gastrointestinal surgery.Methods Randomly selected 80 patients with acute abdomen who received treatment in the campus of Shandong University of Traditional Chinese Medicine Affiliated Hospital from October 2019 to October 2020 as the research subjects,and were divided into two groups by random number table method.Among them,40 patients corresponding to the singular number were the control group,and 40 patients corresponding to the even number were the observation group.The control group received traditional open surgery for exploratory treatment,and the observation group received laparoscopic minimally invasive surgery for postexploratory treatment.Compared the perioperative indicators and incidence of complications between two groups.Results The observation group had a longer surgical time than the control group,but had less intraoperative bleeding and shorter recovery time for gastrointestinal function,the difference was statistically significant(P<0.05).The incidence of complications in the observation group was 5.00%,lower than 22.50%in the control group,the difference was statistically significant(χ^(2)=5.165,P<0.05).Conclusion Laparoscopic treatment of acute abdomen patients with less intraoperative blood loss,less trauma,faster recovery of gastrointestinal function after treatment,lower complication rate,higher clinical value,it is recommended to promote.

关 键 词：腹腔镜技术 胃肠外科急腹症 传统开腹治疗 临床效果对比 

分 类 号：R656.1[医药卫生—急诊医学]