腹腔镜手术对胃肠道恶性肿瘤术后下肢深静脉血栓形成的影响

Effect of laparoscopic surgery on postoperative limb deep venous thrombosis in patients with gastrointestinal cancer

目的探究腹腔镜手术对胃肠道恶性肿瘤术后下肢深静脉血栓形成的影响。方法将我院收治的90例胃肠道恶性肿瘤患者随机分成对照组和研究组,各45例。对照组行传统的开腹手术治疗,研究组行腹腔镜手术治疗。比较两组患者的手术指标、术后下肢深静脉血栓发生率以及其他并发症发生率。结果研究组患者的手术时间长于对照组,术中出血量明显少于对照组,住院时间明显短于对照组(P<0.05)。两组患者术后下肢深静脉血栓发生率以及其他并发症发生率比较,差异不显著(P>0.05)。结论对胃肠道恶性肿瘤患者采用腹腔镜手术治疗,虽能有效降低患者术中的出血量、缩短其术后住院周期,但也易引发患者术后出现下肢深静脉血栓,为此临床需高度重视该并发症的预防与治疗工作。

Objective To investigate the effect of laparoscopic surgery on limb deep venous thrombosis after gastrointestinal cancer. Methods Ninety patients with gastrointestinal cancer admitted in our hospital were randomly divided into control group and study group, with 45 cases in each group. The control group received traditional laparotomy, the study group received laparoscopic surgery. The surgery indexes and the incidences of postoperative limb deep venous thrombosis and other complications were compared between the two groups. Results The operation time of the study group was longer than that of the control group, the amount of intraoperative blood was significantly less than that of the control group, and the hospitalization time was significantly shorter than that of the control group（P〈0.05）. There were no significant differences in the incidences of limb postoperative deep venous thrombosis and other complications between the two groups（P〉0.05）.Conclusion Laparoscopic surgery on patients with gastrointestinal cancer can effectively reduce the amount of intraoperative bleeding and shorten the postoperative hospital stays, but it easily lead to limb deep venous thrombosis in patients after surgery; therefore, it is needed to attach great importance to the prevention and treatment of complications in clinic.