摘要
背景与目的:常规血液生化、腹水检查和影像学检查诊断腹腔肿瘤的敏感性低,剖腹探查术又不适用于终末期患者。超细腹腔镜是近年来发展的诊断腹腔疾病的新技术。本研究评价超细腹腔镜在腹腔恶性肿瘤诊断中的价值。方法:回顾性分析2005年12月—2008年6月间20例经病理活检证实的腹腔恶性肿瘤患者的临床和手术资料,其中经超细腹腔镜诊断10例,经剖腹探查术诊断10例,比较两组的手术费用、麻醉费用、围手术期护理监护和治疗费用、术后住院天数、术后并发症等结果。结果:在腹腔恶性肿瘤的诊断上,超细腹腔镜探查术和剖腹探查术相比较,手术费用和麻醉费用均有显著性差异(P<0.01);围手术期药品费用和围手术期护理监护费用的差异也有显著性(P值分别<0.05和<0.01)。同时,超细腹腔镜诊断术的术后患者胃肠道功能的恢复时间和术后住院天数都显著少于剖腹探查组(P值均<0.01)。在手术前住院天数和手术并发症上,两组比较无显著性差异。结论:超细腹腔镜诊断腹腔肿瘤是微创、经济、安全、可推行的方法。
Background and purpose： Blood biochemistry and ascites test, imageology examination has low sensitivity in abdominal neoplasmas diagnosis. And also exploratory laparotomy is not suitable for final stage patients. Mini-laparoscopy has been a new diagnostic technology for abdominal disease recently. We aimed was to evaluate the value of Mini-laparoscopy in diagnosing Abdominal Neoplasms. Methods： By reviewing the clinical and operational data, a retrospective analysis of 20 cases with pathologically confirmed abdominal malignancies was performed. Among this group, 10 cases were diagnosed by mini-laparoscopy, and the other 10 cases by exploratory laparotomy. Between the two groups, the surgical expense, anesthesia cost, para-operation nursing, monitoring and treating charges, postoperative hospital days and complications were compared. Results： Comparing mini-laparoscopy to exploratory laparotomy, the surgical and anesthesia charges were statistically lowered （P〈0.01）. Para-operational drug expense, charges of nursing and monitoring were also significantly decreased （P〈0.05,P〈0.01）. Meanwhile, the recovery time of gastrointestinal functions and post-operative hospital days were significantly shortened in the mini-laparoscopy group. There was no significant difference between two groups with regard to the pre-operative hospital days and postoperative complications comparison. Conclusion： For diagnosing abdominal neoplasms, mini-laparoscopy has its value in micro-invasion, economy and safety. It was also easy to carry out.
出处
《中国癌症杂志》
CAS
CSCD
2008年第8期604-606,共3页
China Oncology
关键词
腹腔镜
腹腔肿瘤
laparoscopy
abdominal neoplasms
