腹腔镜下2级脾蒂离断切脾术治疗创伤性脾破裂的临床价值分析

Clinical Value Analysis of Laparoscopic Secondary Splenic Pedicle Dissec⁃tion in the Treatment of Traumatic Splenic Rupture

目的 分析腹腔镜下2级脾蒂离断切脾术治疗创伤性脾破裂的临床价值。方法 非随机选取2022年1月—2023年6月烟台市烟台山医院收治的40例创伤性脾破裂患者为研究对象,按手术方式不同分为对照组和研究组,各20例。对照组实施开腹脾切除术,研究组实施腹腔镜下2级脾蒂离断切脾术。对比两组的临床相关指标、血液指标及并发症发生情况。结果 研究组临床相关指标优于对照组,差异有统计学意义(P均<0.05);研究组引流量、血红蛋白变化量、白蛋白变化量均少于对照组,差异有统计学意义(P均<0.05);研究组并发症发生率为0,低于对照组的20.00%(4/20),差异有统计学意义(χ^(2)=4.444,P<0.05)。结论 实施腹腔镜下2级脾蒂离断切脾术的患者,其临床相关指标均有明显改善,患者并发症发生率明显降低,提高了临床价值。

Objective To analyze the clinical value of laparoscopic second level splenic pedicle dissection and splenectomy in the treatment of traumatic splenic rupture.Methods A total of forty patients with traumatic splenic rupture admitted to Yantai Yantaishan Hospital from January 2022 to June 2023 were non-randomly selected as the research objects.According to different surgical methods,they were divided into control group and study group,with twenty cases in each group.The control group underwent open splenectomy,and the study group underwent laparoscopic secondary splenectomy.The clinical indexes,blood indexes and occurrence of complications of the two groups were compared.Results The clinical related indexes of the study group were better than those of the control group,and the difference were statistically significant(all P<0.05).The changes of drainage flow,hemoglobin and albumin in the study group were lower than those in the control group,and the differences were statistically significant(all P<0.05).The complication rate of the study group was 0,which was lower than 20.00%(4/20)of the control group,the difference was statistically significant(χ2=4.444,P<0.05).Conclusion In the patients who underwent laparoscopic splenectomy,the clinical related indexes were significantly improved,the incidence of complications was significantly reduced,and the clinical value was improved.