腹腔镜脾切除术治疗外伤性脾破裂的技术要点分析

万忠博

（陕西省商南县妇幼保健院，陕西 商洛，726300）

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摘要：

目的 研究并分析外伤性脾破裂患者使用腹腔镜脾切除术的临床效果。方法 收集在我院接受治疗的外伤性脾破裂患者共66例，随机分为对照组（33例）和观察组（33例）。对照组接受开腹脾切除术，观察组则行腹腔镜脾切除术，比较两组患者的平均手术操作时间、术中出血量、术后镇痛药物使用频率及术后并发症发生率。结果 两组患者的术中出血量及术后镇痛药物使用频率比较，差异无统计学意义（P>0.05）；观察组患者的平均手术操作时间显著长于对照组（P<0.05）；观察组的术后并发症总发生率显著低于对照组（P<0.05）。结论 在外伤性脾破裂患者的治疗过程中，腹腔镜脾切除术的疗效更佳，基本不会对患者其他腹部脏器造成损伤，值得推广。

关键词：外伤性脾破裂；腹腔镜脾切除术；技术要点

中图分类号：R657.62 文献标志码：A文章编号：2096-1413(2017)21-0060-02

Analysis of technical points of laparoscopic splenectomy in the treatment of traumatic splenic rupture
WAN Zhong-bo
(Maternal and Child Health Care Hospital of Shangnan County, Shangluo 726300, China)

ABSTRACT: Objective To study and analyze the clinical effect of laparoscopic splenectomy in patients with traumatic splenic rupture. Methods A total of 66 patients with traumatic splenic rupture treated in our hospital were selected and randomly divided into control group (33 cases) and observation group (33 cases). The control group accepted open splenectomy, and the observation group underwent laparoscopic splenectomy. The average operative time, amount of intraoperative blood loss, frequency of postoperative analgesic drug use and incidence of postoperative complications were compared between the two groups. Results There were no significant differences in the intraoperative blood loss and frequency of postoperative analgesic drug use between the two groups (P>0.05). The average operative time in the observation group was significantly longer than that in the control group (P<0.05). The overall incidence of postoperative complications in the observation group was significantly lower than that in the control group (P<0.05). Conclusion In the treatment of patients with traumatic splenic rupture, laparoscopic splenectomy has a better efficacy, which basically does not cause damage to other abdominal organs, and is worthy of promotion.
KEYWORDS: traumatic splenic rupture; laparoscopic splenectomy; technical points

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