腹腔镜手术治疗外伤性脾破裂的疗效观察

Clinical effect of laparoscopic surgery in the treatment of traumatic splenic rupture

目的观察外伤性脾破裂应用腹腔镜手术治疗的效果。方法选取2016年7月—2018年7月就治于某医院的300例外伤性脾破裂患者临床资料,按不同手术方法分为2组,每组各150例:对照组行开腹脾切除术,观察组行腹腔镜脾切术,比较两组手术指标及并发症情况。结果观察组手术时间(103.21±22.84) min、首次排气时间(13.74±6.23) h、住院时间(9.11±3.02) d,均比对照组短,VAS评分(2.32±0.57)分,比对照组低(P<0.05);观察组并发症发生率为8.00%,比对照组38.00%低(P<0.05);观察组术后IgA、IgG、IgM水平比对照组高(P<0.05)。结论腹腔镜手术治疗外伤性脾破裂,可减轻术后疼痛,降低并发症风险和免疫功能损伤,并加快患者术后恢复。

Objective To observe the efficacy of laparoscopic surgery in the treatment of traumatic splenic rupture. Methods The clinical data of 300 patients with traumatic spleen rupture who were treated in author's hospital between July 2016 and July 2018 were enrolled in this study , and divided into two groups , 150 cases in each group : control group underwent open splenectomy , and observation group was given laparoscopic splenectomy. The surgical indexes and complications were compared between the two groups. Results The operative duration , the time for the first exhaustion and the hospital stay in observation group were respectively ( 103.21±22.84 ) min ,( 13.74±6.23 ) h and ( 9.11±3.02 ) d , shorter than in control group , and the VAS score was ( 2.32±0.57 ) points in observation group , lower than that in control group ( P<0.05 ). The incidence of complications in observation group was 8.00%, lower than that in control group , which was 38.00%( P<0.05 ). The levels of IgA , IgG and IgM in observation group were higher than those in control group ( P<0.05 ). Conclusion For patients with traumatic splenic rupture , laparoscopic surgery is of significant effect , which can help reduce their postoperative pain , risk of complications and immune function damage , thus accelerate their postoperative recovery.