完全腹腔镜回肠造口还纳术与传统回肠造口还纳术的对比研究  

Comparative Study Between Complete Laparoscopic Ileostomy and Traditional Ileostomy

作　　者：杨晓波[1] 吴淼[1] 钟寒迪[1] 罗坤[1] 刘见[1] 彭孟寅 YANG Xiaobo;WU Miao;ZHONG Handi;LUO Kun;LIU Jian;PENG Mengyin(Gastroenterology Department,Yibin City Second People's Hospital,Yibin,Sichuan 644000)

机构地区：[1]宜宾市第二人民医院胃肠外科,四川宜宾644000

出　　处：《智慧健康》2024年第12期124-126,130,共4页Smart Healthcare

基　　金：宜宾市卫生健康委员会科研课题《完全腹腔镜回肠造口还纳术与传统回肠造口还纳术的对比研究》(项目编号:2020Yn031)。

摘　　要：目的探讨并分析完全腹腔镜回肠造口还纳术与传统回肠造口还纳术的临床应用效果。方法选取2020年12月—2022年12月本院收治的80例行回肠单腔造口还纳术的患者为研究对象,并将患者分为完全腹腔镜组(n=40)以及传统开腹组(n=40),对比两组患者的术后相关指标及两组患者术后30d死亡率以及并发症的发生率。结果完全腹腔镜组患者的手术时间显著长于传统开腹组,住院时间短于传统开腹组,腹腔镜内粘连松解率高于传统开腹组,再住院率低于传统开腹组,组间差异有统计学意义(P<0.05);完全腹腔镜组患者的术中出血量与传统开腹组相比,组间差异无统计学意义(P>0.05);两组患者术后30d均未出现死亡病例;与传统开腹组相比,完全腹腔镜组术后30d内并发症的总发生率较低,组间差异有统计学意义(P<0.05)。结论完全腹腔镜回肠造口还纳术与传统回肠造口还纳术相比较,手术效果更为理想,能够有效保证患者的手术安全性,值得在临床中进一步推广应用。Objective To explore and analyze clinical application effect of complete laparoscopic ileostomy and traditional ileostomy.Methods The paper chose 80 patients with single lumen ileostomy in our hospital from December 2020 to December 2022 as study subjects,and divided them into complete laparoscopic group(n=40)and traditional open group(n=40).Postoperative related indicators,30 day postoperative mortality rate and incidence of complications were compared between two groups.Results Surgery time and length of stay in complete laparoscopic group was significantly longer than traditional open group,adhesion release rate in laparoscopic group was higher than traditional open group.Readmission rate was lower than traditional open group,there was difference between the groups(P<0.05).There was no significant difference in intraoperative blood loss between complete laparoscopic group and traditional open surgery group,(P>0.05).There were no deaths in either group of patients 30 days after surgery,total incidence of complications(2.50%)within 30 days after surgery in complete laparoscopic group was lower than traditional open surgery group(20.00%),with difference between groups(P<0.05).Conclusion Complete laparoscopic ileostomy can achieve more ideal surgical effect than traditional ileostomy,can ensure safety of patients effectively,which is worthy of further promotion and application in clinical practice.

关 键 词：完全腹腔镜 回肠造口还纳术 传统手术 术后并发症 

分 类 号：R656[医药卫生—外科学]