损伤控制手术在肝胆外科疾病治疗中的应用效果分析

Analysis of the Effect of Damage Control Surgery in the Treatment of Hepatobiliary Surgery

目的探讨对肝胆外科疾病患者采用损伤控制手术方式进行治疗后获得临床效果。方法方便选取该院2016年7月—2019年4月收治的74例肝胆外科疾病患者数字奇偶法分组;治疗组(37例):采用损伤控制手术方式完成肝胆外科疾病治疗;对照组(37例):采用常规肝胆手术方式完成肝胆外科疾病治疗;就组间肝胆外科疾病疗效数据、住院费用、住院天数、手术时长、病死率、肺部感染率、凝血障碍率以及粘连性肠梗阻率展开对比。结果治疗组肝胆外科疾病患者疗效数据(94.59%)高于对照组(75.68%),差异有统计学意义(χ^(2)=5.232,P<0.05);治疗组肝胆外科疾病患者住院费用(10.17±3.49)万元少于对照组(20.08±2.15)万元明显,住院天数(26.15±5.21)d、手术时长(101.25±26.42)min均短于对照组(56.45±6.79)d、(203.49±28.13)min,差异有统计学意义(t=14.706、21.535、16.115,P<0.05);治疗组肝胆外科疾病患者病死率(2.70%)、肺部感染率(5.41%)、凝血障碍率(2.70%)以及粘连性肠梗阻率(2.70%)均低于对照组(16.22%、27.03%、24.32%、24.32%)(χ^(2)=3.945、6.366、7.400、7.400,P<0.05)。结论损伤控制手术方式的有效运用,可使得肝胆外科疾病患者获得可靠整体手术效果,对于住院费用、住院天数、手术时长表现出的正性影响显著,并同时将病死率、肺部感染率、凝血障碍率以及粘连性肠梗阻率显著降低,最终实现肝胆外科疾病患者有效预后。

Objective To explore the clinical results obtained after the treatment of patients with hepatobiliary surgery by injury control surgery.Methods The 74 patients with hepatobiliary surgery who were admitted to the hospital from July 2016 to April 2019 were divided into groups by the digital parity method;treatment group(37 cases):completed the treatment of hepatobiliary surgery by damage control surgery;control group(37 cases):conventional hepatobiliary surgery was used to complete the treatment of hepatobiliary surgery;comparisons were made on the efficacy data of hepatobiliary surgery,hospitalization costs,hospitalization days,length of operation,mortality,pulmonary infection rate,coagulopathy rate,and adhesive intestinal obstruction rate between groups.Results The curative effect data of patients with hepatobiliary surgery disease in the treatment group(94.59%)was higher than that in the control group(75.68%),the difference was statistically significant(χ^(2)=5.232,P<0.05);the hospitalization cost of patients with hepatobiliary surgery in the treatment group(10.17±3.49)ten thousand yuan was less than that of the control group(20.08±2.15)ten thousand yuan obviously,the hospitalization days(26.15±5.21)d,the operation time(101.25±26.42)min were shorter than the control group(56.45±6.79)d,(203.49±28.13)min,the difference was statistically significant(t=14.706,21.535,16.115,P<0.05);the fatality rate(2.70%),lung infection rate(5.41%),coagulopathy rate(2.70%)and adhesive intestinal obstruction rate(2.70%)of patients with hepatobiliary surgery in the treatment group were lower than the control group(16.22%,27.03%,24.32%,24.32%),the difference was statistically significant(χ^(2)=3.945,6.366,7.400,7.400,P<0.05).Conclusion The effective use of damage control surgery methods can enable patients with hepatobiliary surgery to obtain reliable overall surgical results.It has a significant positive impact on hospitalization costs,length of stay,and duration of surgery.It also reduces mortality,lung infection rates,and the rate of coagulopathy and adhesive intestinal obstruction are significantly reduced,and finally an effective prognosis for patients with hepatobiliary surgery is achieved.