就普外科微创手术的临床应用分析孙良滨.docVIP

精品论文 参考文献 就普外科微创手术的临床应用分析孙良滨 山东省诸城市林家村中心卫生院 262232 摘要：目的：分析微创手术在普外科中的应用效果。方法：选择我院普外科收治的阑尾切除术患者1430例及直结肠癌术患者212例，回顾分析其临床资料。结果：阑尾切除术患者的住院时间及医疗费用显著降低，腹腔镜切除组的住院时间、护理时间以及并发症发生率均显著低于开腹组；直结肠癌患者的住院时间显著降低，腹腔镜手术比例显著升高；直结肠癌腹腔镜手术的住院时间均显著短于开腹术，并发症发生率显著低于开腹术，P均lt;0.05。结论：在普外科中不断推广应用临床手术微创技术，可有效缩短住院时间、降低诊疗成本以及医疗费用，并降低手术并发症，值得推广应用。 关键词：微创手术；普外科；腹腔镜术 【Take off to want 】purpose：Is analytical tiny the applied effect in the surgery for creating surgical operation at the Pu.Method：Choose my Pu surgery in the hospital accepts to cure of appendices resection sufferers 1430 and the Shu sufferer who keeps colon cancer are 212，the review analyzes its clinical data.Result：The hospitalized time and medical expense of the appendices resection sufferer shows Zhao to lower，the belly cavity mirror excision set of hospitalized time and nursing time and complications incidence rate all show Zhao is lower than to open a stomach set；Hospitalized time that keeps the sufferer of colon cancer shows Zhao to lower，the belly cavity mirror surgical operation proportion shows Zhao to heat up；Hospitalized time that keeps the belly cavity mirror surgical operation of colon cancer all shows Zhao is shorter than to open stomach Shu，complications incidence rates showing Zhao is lower than to open stomach Shu，P alllt;0.05.Conclusion：continuously expand in the Pu surgery applied the clinical surgical operation is tiny to create a technique，can effectively shorten hospitalized time and lower diagnosis and treatment of cost and medical expense，and lower surgical operation complications，Be worth expanding application. 【Keyword 】tiny create surgical operation；Pu surgery；Belly cavity mirror Shu 微创技术在临床手术中的应用不但减轻了患者的痛苦，且可缩短患者的平均住院时间，可提高医院床位周转次数，从而提高医疗资源的利用率，提高医院的经济效益和社会效益，同时也可减轻患者的经济负担。腹腔镜手术是普外科最常用的微创技术之一，在临床疾病的诊断及治疗之中发挥了重要作用。本研究探讨了腹腔镜手术在普外科中的应用效果，现报道如下： 1一般资料与方法 1一般资料 收集2010年1月至2013年5月期间，我院普外科收治的阑尾切除术1430例，其中352例实施腹腔镜手术，1078例开腹术，其中，男847例，女583例，年龄在14-88岁之间，212