摘要
目的对比研究腹腔镜脾切除术与开腹脾切除术治疗脾脏占位的临床效果。方法收集我院收治的44例脾脏占位患者,其中腹腔脾切除22例,开腹脾切除22例,回顾分析比较腔镜组与开腹组的围手术期结果。结果 21例(95.4%)成功完成腹腔镜脾切除术,1例(4.6%)中转开腹。腹腔镜组手术时间为(194.86±55.66)min,明显长于开腹组(129.55±48.40)min,腹腔镜组术中出血量(49.77±68.57)ml少于开腹组(178.18±198.13)ml,术后进食时间(1.77±1.54)d早于开腹组(3.82±0.85)d,差异有统计学意义(P<0.05)。术中输血次数、术后住院时间、术后镇痛次数、术后引流管拔除时间、术后并发症发生率的比较,两组间差异无统计学意义。结论腹腔镜下脾切除术诊断和治疗脾脏占位性病变是安全可行的。
ObjectiveThis study aims to compare the clinical efficacy of laparoscopic splenectomy and conventional splenectomy for splenic masses.Methods We performed a retrospective chart review of 44 cases splenic masses in our institution, of which 22 were laparoscopic splenectomy and 22 were open splenectomy. Perioperative results were analysed.ResultsLS was successfuly achieved in al patients except one （4.6%）. Laparoscopic splenectomy took more time （P〈 0.05）, the estimated blood loss was significantly less in LS patients than in OS patients （P〈 0.05）. Patients in LS group were alowed to resume oral intake earlier （P〈 0.001）. The differences between the two groups were not statisticaly significant in terms of frequency of intraoperative transfusion, postoperative hospital stay, frequency of pain requiring analgesia, time of extration of drainage tube, and postoperative complication.Conclusion Laparoscopic splenectomy is a safe and feasible and procedure for the diagnosis and treatment of patients with splenic masses.
出处
《中国卫生标准管理》
2015年第15期77-79,共3页
China Health Standard Management
关键词
腹腔镜脾切除
脾脏占位
开腹脾切除
Laparoscopic splenectomy
Splenic masses
Conventional splenectomy
