血吸虫性肝硬化致脾功能亢进不同术式的临床对照研究

Effect of Different Surgical Modes on Hypersplenism Due to Schistosomal Cirrhosis: A Clinical Control Study

目的分析血吸虫性肝硬化致脾功能亢进不同术式的临床对照。方法将随机选取的100例血吸虫性肝硬化致脾功能亢进患者均分成观察组50例以及对照组50例,观察组采用腹腔镜手术,对照组采用开腹手术,比较治疗效果。结果观察组患者的各项检测指标均优于对照组(P<0.05)。结论在对血吸虫性肝硬化致脾功能亢进患者进行治疗的过程中,选择采用腹腔镜手术治疗效果明显优于传统的开腹手术,腹腔镜手术具有术中出血量少、患者住院时间短临床中值得推广使用。

Objective To compare the clinical effect of different surgical modes on hypersplenism due to schistosomal cirrhosis. Methods 100 cases with hypersplenism due to schistosomal cirrhosis were equally divided into the observation group and the control group with 50 cases in each. Patients in the observation group were treated by laparoscopic surgery, while those in the control group were treated by open operation. And the treatment effects of the two groups were compared. Results The values of the detection indexes in the observation group were better than those in the control group(P <0.05).Conclusion For patients with hypersplenism due to schistosomal cirrhosis, compared with the traditional open operation, laparoscopic surgery has less intraoperative blood loss and shorter length of stay with better effect, so it is worthy of clinical promotion and application.