腹腔镜脾切除术与开腹脾切除术治疗外伤性脾破裂的临床效果

Clinical Effect of Laparoscopic Splenectomy and Splenectomy in Treatment of Traumatic Splenic Rupture

目的比较腹腔镜脾切除术与开腹脾切除术治疗外伤性脾破裂的临床效果。方法以2015年11月-2016年10月在本院诊治的60例外伤性脾破裂患者作为研究对象,随机分成对照组与观察组,各30例。对照组采取开腹脾切除术,观察组实施腹腔镜脾切除术。将两组的手术相关指标(手术用时、患者的术中出血量、患者术后的排气时间以及患者的住院天数)、术后并发症的发生概率进行对比。结果观察组患者的上述四项手术指标及术后并发症发生率与对照组相比更有优势(P<0.05)。结论与开腹脾切除术相比,腹腔镜脾切除术治疗外伤性脾破裂更加安全有效。

Objective To compare the clinical effects of laparoscopic splenectomy and open splenectomy for traumatic splenic rupture. Methods 60 cases of traumatic splenic rupture were treated in our hospital from November 2015 to October 2016. The patients were randomly divided into two groups： control group and observation group, each had 30 cases, the splenectomy was performed in the control group, while the splenectomy was performed in the observation group. The two groups of surgery, the patient＇s intraoperative blood loss, the patient＇s exhaust time and the patient＇s hospital days, the probability of postoperative complications in a scientific comparison. Results The four operative indexes and the incidence of postoperative complications were all superior to those of the control group （P〈0.05）.Conelusion Compared with open splenectomy, laparoscopic splenectomy is more safe and effective in treating traumatic splenic rupture.