腹腔镜下腹腔灌洗引流术治疗重症胰腺炎的效果分析

Laparoscopic Peritoneal Lavage and Drainage for Severe Pancreatitis

目的探讨腹腔镜下腹腔灌洗引流术治疗重症胰腺炎的临床效果。方法选取2016年4月—2019年3月期间到本院治疗的73例重症胰腺炎患者开展实验操作,按照单双序号分组,分成A组(n=36,传统开腹手术)和B组(n=37,腹腔镜下腹腔灌洗引流术),比较两组临床疗效、手术情况。结果 B组患者的临床治疗总有效率显著高于A组;相较于A组,B组的腹胀腹痛缓解、肠鸣音恢复、拔管、住院时间均较短,两组之间比较差异具有统计学意义(P <0.05)。结论在重症胰腺炎治疗中应用腹腔镜下腹腔灌洗引流术,临床疗效显著,患者的腹胀腹痛缓解时间、肠鸣音恢复时间、拔管时间、住院天数均明显缩短,值得临床推广。

Objective To explore the clinical effect of laparoscopic peritoneal lavage and drainage in the treatment of severe pancreatitis.Methods 73 patients with severe pancreatitis who were treated in our hospital from April 2016 to March 2019 were selected and divided into group A(n=36,traditional open surgery)and group B(n=37,laparoscopic peritoneal lavage and drainage)according to single and double serial numbers.The clinical efficacy and surgical conditions of the two groups were compared.Results The total effective rate of group B was significantly higher than that of group A;compared with group A,the relief of abdominal distension and abdominal pain,recovery of bowel sounds,extubation and hospitalization time in group B were shorter,and the difference between the two groups was statistically significant(P<0.05).Conclusion In the treatment of severe pancreatitis,laparoscopic peritoneal lavage and drainage has a significant clinical effect.The time of abdominal distention and abdominal pain relief,bowel sound recovery time,extubation time,hospitalization days are significantly shortened,which is worthy of clinical promotion.