摘要
目的比较腹部二次手术行改良腹直肌后鞘入路较直接经腹直肌后鞘入路的效果。方法2008年11月至2010年11月河南省肿瘤医院普外科68例胃肠道肿瘤术后二次手术探查患者随机分为改良腹直肌后鞘入路和直接经腹直肌后鞘入路二组，对照研究两组进腹出血量，进腹手术时间，肠管损伤例数，术后排气时间，切口疝和粘连性肠梗阻发生率等指标。结果改良腹直肌后鞘入路组在进腹出血量、进腹手术时间和肠管损伤例数方面均少于直接经腹直肌后鞘入路组，两组差异有统计学意义（P〉0．05），而术后排气时间两组差异无统计学意义（P〉0．05）。两组患者术后均未有切口疝及粘连性肠梗阻发生。结论改良腹直肌后鞘入路较直接腹直肌后鞘入路分离腹腔粘连更具操作简单、出血少、损伤小等优点。
Objective To investigate the clinical advantage of a new approach to divide the anky- lenteron between the abdomen wall and intestine from original incision in second exploratory laparotomy. Methods The data of 68 patients who received second exploratory laparotomy from Nov. 2008 to Nov. 2010 in Department of General Surgery, Henan Tumor Hospital, were studied. The patients were divided into two groups randomly. The blood loss, operating time, the injury to the intestine, aerofluxus time and the incidence of adhesive ileus after operation were comparatively studied. Results The blood loss was less, operating time was shorter, and the incidence of enterorrhexis was lower in the patients who received operation with new approach than the controls （ P 〈 0.05 ）. There was significant difference in aerofluxus time between two groups. No patients had incision hernia or adhesive ileus after operation. Conclusion The new approach of dividing the ankylenteron between the abdomen wall and intestine before the posterior rectus sheath was superior to the direct way in operating time, blood loss and tissue trauma.
出处
《中华实验外科杂志》
CAS
CSCD
北大核心
2011年第9期1577-1578,共2页
Chinese Journal of Experimental Surgery
关键词
肠粘连
腹直肌后鞘
二次手术
Ankylenteron
Posterior rectus sheath
Second operation
