腹腔镜手术与剖腹探查治疗腹部穿通伤的效果比较

Laparoscopy in the diagnosis and treatment of penetrating abdominal injuries

目的探讨腹腔镜手术治疗腹部穿通伤的价值。方法 177例腹部穿通伤患者分别行腹腔镜手术(86例)和剖腹探查手术(91例),对两组患者手术时间、术中出血量、肠功能恢复时间、术后住院天数、切口愈合或感染情况、术后并发症发生情况进行比较。结果两组均手术顺利。腹腔镜手术组患者术中出血量、肠功能恢复时间、术后住院天数、术后并发症发生情况均低于剖腹探查手术组(P<0.05)。结论 腹腔镜手术治疗腹部穿通伤疗效确切,具有手术创伤小、术后康复快、住院时间短、术后并发症发生率低等优点,在无禁忌证的情况下,可推荐患者行腹腔镜腹部穿通伤手术。

Objective To seek the value of laparoscopy in the diagnosis and treatment of penetrating abdominal injuries.Methods We retrospectively analyzed the clinical data of 177 patients with penetrating abdominal injuries who suffered the laparoscopic treatment（86 cases） and laparotomy（91 cases） in our hospital from January 2007 to March 2011.Operation time,blood loss,intestinal function recovery time,postoperative hospital stay,wound healing or infection and postoperative complications between the two groups were compared.Results Both two groups completed the operation successfully.Laparoscopic surgery group was lower than laparotomy group in blood loss,intestinal function recovery time,postoperative hospital stay and postoperative complications.Conclusions Laparoscopic surgery is effective in penetrating abdominal injuries,with small injuries,faster postoperative recovery,short hospital stay and low postoperative complication rate,etc.In the case of no contraindications,laparoscopic surgery can be recommended in patients with penetrating abdominal injuries.