腹腔镜脾脏切除术治疗肝硬化脾功能亢进症患者的疗效观察

The Curative Effect of Laparoscopic Splenectomy for Patients with Hypersplenism of Cirrhosis

目的:探讨腹腔镜脾脏切除术治疗肝硬化脾功能亢进症患者的疗效观察。方法:选择本院2017年2月~2018年2月收治的90例肝硬化脾功能亢进症患者作为此次研究对象,将其分成对照组与实验组,每组45例。对照组行开腹脾脏切除术治疗,实验组行腹腔镜脾脏切除术治疗,比较两组的治疗效果。结果:在术前,两组的肝功能指标指标差异不显著,不具有统计学意义;在通过手术后,实验组的肝功能指标明显优于对照组,两组间比较具有统计学差异(P<0.05)。在住院时间、手术时间、术中出血量、拔管时间等围手术期指标的对比上,实验组明显优于对照组,两组间比较具有统计学意义(P<0.05)。结论:肝硬化脾功能亢进症患者应用腹腔镜脾脏切除术治疗路径,其有助于肝功能指标指标、围手术期指标的改善。

Objective：to explore the curative effect of laparoscopic splenectomy for patients with hypersplenism of cirrhosis.Methods：90 cases of hypersplenic hypersplenic hypersplenia in our hospital were selected as the subjects of this study,and the patients were divided into the control group and the experimental group,with 45 cases in each group.In the control group,laparoscopic splenectomy was performed in the treatment group,and the treatment effect was compared between the two groups.Results：before the operation,there was no significant difference in the indexes of liver function between the two groups,which was not statistically significant.After the operation,the liver function index of the experimental group was significantly better than the control group,and the comparison between the two groups was statistically significant（P〈0.05）.In the comparison of hospital time,operation time,intraoperative blood loss,and time of catheter removal,the experimental group was significantly better than the control group,and the comparison between the two groups was statistically significant（P〈0.05）.Conclusion：patients with cirrhosis of the liver spleen function already use of laparoscopic resection of spleen for path,it helps to liver function index index,the improvement of the perioperative indicators,worth clinical reference and promotion.