改良手助法在腹腔镜脾切除术中的应用

Application of modified hand assisted method in laparoscopic splenectomy

目的探讨手助腹腔镜脾切除术的临床应用效果。方法研究组给予手助腹腔镜脾切除术，对照组给予传统开腹脾切除术，记录两组患者手术时间、术中出血量、术后住院时间、并发症发生情况，给予统计学分析后得出结论。结果两组患者经不同手术方式完成脾切除所需时间比较差异未见统计学意义（P〉0．05），但研究组术中出血量、术后住院时间则显著少于对照组；研究组术后并发症发生率仅为22．22％，显著低于对照组（61．11％），差异有统计学意义（P〈0．05）。结论改良手助法腹腔镜脾切除术有利于患者尽快恢复身体健康，保障患者临床疗效及预后，增加患者满意度。

Objective To investigate the clinical effect of hand-assisted laparoscopic splenecto- my. Methods The study group were given hand-assisted laparoscopic splenectomy and the control group received traditional open splenectomy, the surgical time, blood loss, postoperative hospital stay, compli- cations of all the patients were recorded and given statistical analysis. Results The time required to complete the splenectomy in different operation mode for the two groups of patients showed no significant difference （P 〉 0. 05 ） , but the bleeding volume, postoperative hospitalization time in study group was significantly less than that of the control group. The incidence rate of complications was 22.22% in study group, which were significantly lower than that in control group（61. 11% ） , and the difference was sig- nificant（P 〈 0. 05 ）. Conclusions Modified hand assisted method is beneficial to patients who conduc- ted laparoscopic splenectomy, can ensure the therapeutic effect and the prognosis of patients, and in- crease patients satisfaction.