摘要
目的探讨二级脾蒂法腹腔镜脾切除术在治疗脾脏良性病变中的治疗效果。方法将2011年8月31日-2015年9月14日期间在我院接受治疗的72例脾脏良性病变患者随机分为对照组（36例）和观察组（36例）,其中对照组采取内镜下切割吻合器（Endo-GAI）法治疗,观察组接受LSSP治疗,比较两组的临床疗效及并发症情况。结果两组在手术时间、术中出血量、术后留置引流管时间、术后首次排气时间及住院天数方面差异无统计学意义（P〉0.05）,在手术费用方面,观察组明显低于对照组（P〈0.05）;另外,观察组术后并发症总发生率13.89%,与对照组的36.11%比较差异有统计学意义（P〈0.05）。结论对于脾脏良性病变的治疗,LSSP与Endo-GAI法具有相似的疗效,但LSSP手术费用更低、并发症更少。
Objective To explore and discuss the treatment effect of laparoscopic splenectomy by second level of spleen pedicle method on treating splenic benign lesions. Methods 72 patients with splenic benign lesions treated in my hospital from August 31,2011 to September 14,2015 were randomly divided into control group and observation group, 36 cases in each group,the control group received treatment of endoscopic stapler cutting（EndoGAI） method, while the observation group received therapy of LSSP, the clinical curative effect and complications of the two groups were compared. Results There was no significant difference between the two groups in operation time, intraoperative blood loss,postoperative time of drainage tube intubation, postoperative exhaust time for the first time, and hospitalization days（P〉0.05）,the operation cost of the observation group was obviously lower than that of the control group（P〈0.05）.In addition, the total incidence rate of postoperative complications in the observation group was 13.89%,while the total incidence rate of postoperative complications in the control group was 36.11%,there was significant difference（P〈0.05）. Conclusion For the treatment of splenic benign lesions,the LSSP and Endo-GAI methods had similar curative effect.However,the LSSP method had lower surgical costs and less complication.
出处
《中国医药科学》
2016年第11期211-213,228,共4页
China Medicine And Pharmacy
关键词
脾脏良性病变
二级脾蒂法
腹腔镜脾切除术
疗效
Splenic benign lesions
Second level of spleen pedicle method
Laparoscopic splenectomy
Curative effect
