腹腔镜戳孔两种闭合法的临床对比研究word论文.docxVIP

中英文缩略词对照表英文缩写英文全名中文译名TSHTrocar site hernia戳孔疝LClaparoscopiccholecystectomy腹腔镜胆囊切除术目录摘要………………………………………………………………………………1ABSTRACT………………………………………………………………………2前言………………………………………………………………………………3内容与方法………………………………………………………………………4.研究内容…………………………………………………………………4.研究方法…………………………………………………………………4.质量控制…………………………………………………………………5.统计学处理………………………………………………………………5结果………………………………………………………………………………6讨论………………………………………………………………………………8小结………………………………………………………………………………17致谢………………………………………………………………………………18参考文献…………………………………………………………………………19附录………………………………………………………………………………26综述………………………………………………………………………………27攻读硕士学位期间发表的学位论文……………………………………………33导师评阅表………………………………………………………………………34腹腔镜戳孔两种闭合法的临床对比分析研究生：麦麦提江·喀斯木导师：克力木教授摘要目的：对比分析自制腹壁带线器缝合法与传统缝合法在腹腔镜戳孔关闭中的临床应用价值。方法：回顾性分析自2010年2月到2011年2月间在新疆维吾尔自治区人民医院微创、疝和腹壁外科行腹腔镜胆囊切除术的437例患者的临床资料，根据戳孔关闭方法设立A、B两组，A组223例患者术中应用自制腹壁带线器缝合戳孔； B组214例患者应用传统手工缝合方法, 比较戳孔缝合时间并随访12-24月观察有无戳孔并发症发生，加以对比分析。结果：A组所用缝合时间明显短于B组，A组戳孔皮下结节、戳孔出血等并发症的发生率低于B组，且2组比较差异有统计学意义，A 组戳孔疼痛、戳孔感染、戳孔疝发生率均低于B组，但比较差异无统计学意义。结论：用自制腹壁带线器缝合戳孔可取得良好的戳孔闭合的效果，缩短缝合戳孔的时间，降低了传统缝合难度，有效地避免了传统戳孔缝合方法带来的并发症，具有一定的临床应用价值。关键词：腹腔镜; 戳孔缝合方法; 手术器械1Clinical comparativeanalysis oftwokindsoftechniquesforclosinglaparoscopictrocarwoundsPostgraduate:Maimaitijiang.KasimuSupervisor:Prof. KelimuAbstractObjective:Tocomparisonoftwokindsoftechniquesforclosinglaparoscopictrocar wounds.Methods:437patientsundergoinglaparoscopiccholecystectomyatourhospital fromFebruary2010toFebruary2011wereenrolledinthisretrospectivestudy.Allthe patientsfallintotwogroups,Bgroupwasclosedwithtraditionalhandsew(n=214);A groupwasclosedwithself-madelinecarrieranatomically(n=223).Theclosuretimewas assessed.Thefollow-upperiodwas12-24monthsforanycomplicationatthesetrocar sites.Results:ClosuretimeofAgroupwassignificantlyshorterthanBgroup.Therateoftrocarsitesubcutaneousnodes、trocarsitebleedingwerehigherinBgroup,andthedifferenceoftwogroupshas statistical significance.Therate oftrocar sitepain、trocarsite infection、trocarsiteherniawerehigherinBgroup,butthedifferenceoftwogroupshas no