对肝囊肿患者施行腹腔镜下开窗引流术治疗临床效果研究.docVIP

对肝囊肿患者施行腹腔镜下开窗引流术治疗临床效果研究 　　【摘要】 目的 探讨腹腔镜下开窗引流术治疗肝囊肿的临床效果。方法 300例肝囊肿患者， 采用随机分组的方法分为观察组和对照组， 每组150例。对照组行开腹开窗引流术， 观察组行腹腔镜下开窗引流术治疗， 对比两组的临床效果。结果 观察组患者的手术时间为（41.9±10.4）min， 胃肠功能恢复时间为（15.6±6.3）h， 住院时间为（4.9±1.4）d， 术中失血量为（18.2±5.5）ml；对照组患者的手术时间为（68.7±12.8）min， 　　胃肠功能恢复为（27.7±8.8）h， 住院时间为（8.0±2.1）min， 术中失血量为（35.7±6.4）ml；观察组手术时间、胃肠功能恢复时间、住院时间均短于对照组， 术中失血量少于对照组， 差异均具有统计学意义 （t=19.9020、13.6929、15.0431、25.3988， P0.05）。观察组肝囊肿复发率为1.33%， 低于对照组的7.33%， 差异具有统计学意义（χ2=6.5130， P0.05）。结论 腹腔镜下开窗引流术治疗肝囊肿具有较好的临床效果， 值得在临床实践中运用。 　　【关键词】 肝囊肿；腹腔镜；开窗引流术 　　DOI：10.14163/j.cnki.11-5547/r.2017.09.020 　　Study on clinical effect of hepatic cyst patients treated with laparoscopic fenestration and drainage SUN Li-jie. Department of General Surgery， Inner Mongolia Chifeng College Affiliated Hospital， Chifeng 024000， China 　　【Abstract】 Objective To explore the clinical effect of laparoscopic fenestration and drainage in the treatment of hepatic cyst. Methods A total of 300 hepatic cyst patients were randomly divided into observation group and control group， with 150 cases in each group. The control group received laparotomy fenestration and drainage， and the observation group received laparoscopic fenestration and drainage. Clinical effect was compared in two groups. Results The observation group had operation time as （41.9±10.4） min， gastrointestinal function recovery time as （15.6±6.3） h， hospital stay time as （4.9±1.4） d， intraoperative bleeding volume as （18.2±5.5） ml， 　　while the control group had operation time as （68.7±12.8） min， gastrointestinal function recovery time as （27.7±8.8） h， hospital stay time as （8.0±2.1） min and intraoperative bleeding volume as （35.7±6.4） ml. The observation group had shorter operation time， gastrointestinal function recovery time and hospital stay time than the control group， and less intraoperative bleeding volume than the control group. Their difference had statistical significance （t=19.9020， 13.6929， 15.0431， 25.3988， P0.05）. The observation group had lowe