腹腔镜探查在胃肠外科急诊中的应用效果.docVIP

精品论文 参考文献 腹腔镜探查在胃肠外科急诊中的应用效果 高 聪 　　四川医学科学院/四川省人民医院急诊科 四川成都 610000 　　【摘 要】目的：探究腹腔镜技术在胃肠科疾病治疗中的应用价值。方法：选择2014年1月-2015年1月在我院急诊外科接受治疗的108例患者作为研究对象，将其随机分为实验组和对照组，每组平均54例，实验组患者接受腹腔镜探查诊治，对照组患者接受剖腹探查术诊治，分析比较两组患者的手术时间、住院时间、平均失血量、平均术后离床活动时间、术后并发症发生率等各项临床指标之间的差异。结果：两组患者的手术时间相当，两组之间的差异不具有统计学意义；实验组患者的手术时间、住院时间、平均失血量、平均术后离床活动时间、术后并发症发生率等各项临床指标之间的差异显著，且实验组明显优于对照组；实验组患者的的并发症发生率（3.7%）明显低于对照???患者（9.26%）。结论：腹腔镜探查在胃肠外科急诊的已经得到广泛使用，因其效果可靠，值得在今后的临床诊治中推广使用和进行深入的研究。 　　【关键词】腹腔镜；探查技术；胃肠外科急诊；临床效果 　　【中图分类号】R44 【文献标识码】B 【文章编号】1674-8999（2015）8-0158-01 　　【Abstract】Objective：to explore the laparoscopy in the treatment of gastrointestinal diseases. Methods：in January 2014 - January 2015 in our hospital emergency surgical treatment of 108 patients as the research object, its were randomly divided into experimental group and control group, each group of average 54 cases, diagnosis and treatment of the experimental group patients underwent laparoscopic exploration, laparotomy was control group patients receiving treatment, compared two groups of patients in the operation time, length of hospital stay, average blood loss, postoperative bed activity time, incidence of postoperative complications such as the difference between the clinical indicators. The results：of two groups of patients with operation time, no statistically significant difference between the two groups. Group of patients with operation time, average hospital stay, average blood loss, postoperative bed activity time, incidence of postoperative complications such as significant difference between the clinical indexes, and the experimental group was better than control group; The experimental group the incidence of complications in patients with significantly lower than the control group (3.7%) patients (9.26%). Conclusion：laparoscopic exploration has been widely used in emergency gastrointestinal surgery, because its effect is reliable, is worth popularizing in clinical diagnosis and treatment for the future use and conduct in-