探讨腹腔镜治疗肝胆胰脾手术的临床效果观察.docVIP

精品论文 参考文献 探讨腹腔镜治疗肝胆胰脾手术的临床效果观察 望奎县人民医院 152100 【摘 要】目的 研究分析腹腔镜肝胆胰脾手术的的临床效果。方法 此次研究的对象是选取2010年4月1日～2014年4月1日在我院就诊500例肝胆胰脾手术患者，将其临床资料进行回顾性分析，并采取随机的方法将其分为对照组和观察组，每组250例。对照组患者行腹腔镜肝胆胰脾手术，对观察组患者实施常规手术治疗，观察比较两组患者的术后住院时间、术中出血量、手术时间及痊愈情况。结果 观察组患者在手术时间和术中出血量之间明显低于对照组；观察组患者在术后住院时间以及痊愈情况均优于观察组，存在显著差异，具有统计学意义（Plt;0.05）。结论 相比较常规肝胆胰脾手术方法，腹腔镜肝胆胰脾手术可以大大减轻患者痛苦、促进康复、安全可靠、并发症较少，同时能够确保肝胆胰脾的完整，值得临床借鉴使用。 【关键词】腹腔镜；肝胆胰脾；手术；临床疗效 Abstract：Objective To study the clinical effect of laparoscopic splenectomy in patients with liver and gallbladder surgery.The object of this research method is from April 1，2010 to April 1，2014 in our hospital 500 cases of hepatobiliary surgery patients，the clinical data were retrospectively analyzed，and taken randomly divided into control group and observation group，250 cases in each group.Patients in the control group were treated with laparoscopic liver and gallbladder surgery.The patients in the observation group were treated with routine operation.The postoperative hospital stay，blood loss，operation time and recovery of the two groups were observed and compared.Results between the observation group patients in the operation time and intraoperative bleeding was significantly lower than the control group；the observation group patients in the postoperative hospital stay and recovery were better than the observation group，there were significant differences，with statistical significance（Plt;0.05）.Conclusion compared to conventional hepatobiliary surgery，laparoscopic hepatobiliary surgery can alleviate the pain of patients，promote the rehabilitation，safe and reliable，less complications，and can ensure the integrity of hepatobiliary，worthy of clinical use. Key words：Laparoscopy；liver and spleen；operation；clinical effect 腹腔镜手术（Laparoscopic Surgery）是近年来发展起来的一项新型手术方法，现在脾、肾和结肠等在多种手术中得到广泛的应用，腹腔镜手术可以降低常规手术的危险度，更具有灵活性。一次手术同时进行多个部位病变切除是腹腔镜手术的突出优点[1]。自1991年Disrelated首先报道第一例腹腔镜下脾脏切除（LS）以来，LS治疗各种血液病的作用越来越引起国内外科医生的高度重视[2]。 为探究腹腔镜肝胆胰脾手术的临床疗效，笔者选取自2010年4月1日～2014年4月1日在