摘要
目的探究腹腔镜探查在胃肠外科急诊中的临床应用效果。方法选取2014年1月—2016年12月在该院接受腹腔镜探查的胃肠外科急诊患者45例为实验组,另选取同期在该院进行常规方法剖腹检查的患者40例为对照组,观察比较两组患者的探查结果、临床各项观察指标与并发症发生率。结果两组不同探查方法的探查结果相近,差异无统计学意义(P>0.05)。实验组患者45例,手术时间(208.32±7.32)min,术中出血(102.85±10.23)mL,平均住院(6.34±1.34)d;对照组患者40例,手术时间(232.58±9.87)min,术中出血(193.28±13.76)mL,平均住院(11.23±1.12)d。两组患者腹部探查术后临床指标比较,差异有统计学意义(P<0.05)。实验组患者45例,恶心1例,呕吐1例,感染1例,并发症发生率为6.67%;对照组患者40例,恶心3例,呕吐3例,感染4例,并发症发生率为25.00%。两组患者并发症发生率比较,差异有统计学意义(P<0.05)。结论腹腔镜探查术在胃肠外科中应用具有良好的临床效果,可以减少患者操作时间,同时减少并发症发生率,值得在临床中推广。
Objective This paper tries to investigate the clinical effect of laparoscopic exploration in emergency surgery of gastrointestinal surgery. Methods 45 cases received emergency gastrointestinal surgery by laparoscopic exploration in the hospital from January 2014 to December 2016 were chosen as the experimental group, another 40 cases took conventional method of caesarean section examination were selected as the control group, and then the exploration results, clinical indexes, incidence of complications and treatment results of the two groups were observed and compared. Results The results of the two groups of exploration methods were similar, and the difference was not statistically significant（P0.05）. The operation time, intraoperative bleeding amount, average hospitalized time in the experimental group were（208.32±7.32）min,（102.85±10.23）mL,（6.34±1.34） days; those of the control group were（232.58±9.87）min,（193.28±13.76）mL,（11.23±1.12） days. The clinical indexes of the two groups with abdominal operation were the statistically significant different（P0.05）. In the experimental group, 1 case of nausea and 1 case of vomiting, 1 case of infection happened, and the complication rate was 6.67%; in the control group patients, 3 cases of nausea and 3 cases of vomiting, 4 cases of infection happened, and the complication rate was 25.00%. The complication rate between the two groups was statistically significant（P0.05）. Conclusion Laparoscopic exploration has good clinical effect in gastrointestinal surgery, which can reduce the operation time of patients and reduce the incidence of complications. It is worth popularization in clinical practice.
出处
《系统医学》
2017年第12期53-55,共3页
Systems Medicine
关键词
腹腔镜
胃肠外科
急诊
Laparoscopy
Gastrointestinal surgery
Emergency department
