摘要
目的探讨腹腔镜早期探查术应用于腹部钝性外伤继发肠损伤中的临床效果,提高其治疗效果。方法回顾性分析在本院住院治疗的腹部钝性外伤继发肠损伤早期实施腹腔镜探查术患者40例的临床资料,并与同期早期(受伤后开始手术不超过6小时)手术患者38例进行比较。结果两组患者一般资料、肠管损伤部位及程度比较,差异无统计学意义(P>0.05);两组患者死亡率均较低,差异无统计学意义(P>0.05),但是观察组患者住院时间、ICU监护时间、机械通气时间及并发症发生率均低于对照组,差异存在统计学意义(P<0.05)。结论腹腔镜探查术是集诊断和治疗为一体的现代化外科微创技术,在技术和设备许可的情况下,正确把握适应征,可以使腹部钝性外伤继发肠损伤患者获得最佳的诊治效果。
Objective To investigate the clinical effects of early laparoscopic detection applicated in treatment of blunt abdominal trauma secondary to intestinal injury. Methods Clinical data of intestinal injury secondary to blunt abdominal trauma were retrospectively analyzed. 40 cases underwent early laparoscopy while 38 cases during the same period underwent general surgical treatment early after the injury （not more than 6 h）. Results The difference of general information of the two groups including bowel injury site and severity was not statistically significant （P〉 0.05）. The mortality of two groups were both low, the difference was also not significant （P〉 0.05）. But the hospital stay, ICU stay, duration of mechan- ical ventilation, and complications of the laparoscopy group were lower than those of the control group, the difference was statistically significant （P〈 0.05）. Conclusion Laparoscopy is a modern minimally invasive technique. With adequate laparoscopy technique, equipment and right indications, patients with intestinal injury secondary to blunt abdominal trauma can get the good diagnosis and treatment.
出处
《浙江创伤外科》
2012年第6期734-736,共3页
Zhejiang Journal of Traumatic Surgery
关键词
腹部钝性外伤
肠损伤
腹腔镜
探查术
Blunt abdominal trauma
Intestinal injury
Laparoseopy
Exploratory surgery
