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中华普通外科学文献简介:中华普通外科学文献简介,中华普通外科学文献简介[详细]

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中华人民共和国国家卫生健康委员会
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中华医学会
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中山大学附属第一医院
中山大学附属中山医院
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首页 > 期刊列表 > 腹腔镜辅助技术在结肠造口还纳术中的临床应用
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标题: 腹腔镜辅助技术在结肠造口还纳术中的临床应用
摘要:

目的:探讨腹腔镜辅助技术进行结肠造口还纳的可行性及临床疗效。方法:选择中山市人民医院2009年3月至2015年3月结肠造口还纳术患者50例,随机分为两组。其中25例开展腹腔镜辅助结肠造口还纳术(试验组),25例行传统开腹结肠造口还纳术(对照组)。记录两组患者的手术情况(平均手术时间、术中出血量)、术后恢复情况(术后疼痛评分、肠道功能恢复时间、住院时间)、术后并发症的发生情况。术后随访1年,评价两组患者的长期生存情况。结果:50例患者均手术顺利,无术中并发症、术后出血及腹腔感染的发生。试验组5例中转开腹,平均手术时间、术中出血量略高于对照组,但差异无统计学意义(t=0.625、0.729,P=0.671、0.823);胃肠道功能恢复时间为(3.5±0.5)d,平均住院时间为(7.0±0.5)d,显著短于对照组的(4.7±1.5)d、(10.5±1.5)d(t'=3.795、7.911,均P<0.01)。试验组患者术后疼痛评分明显低于对照组(U=3.502,P<0.01)。术后中位随访10个月,肿瘤复发5例,42例生存,7例吻合口狭窄并重新吻合,两组吻合口瘘及狭窄发生率差异无统计学意义(χ2=0.166,P=0.684)。结论:腹腔镜辅助技术在结肠造口还纳术中应用安全可靠,能明显缩短住院时间及胃肠道功能恢复时间,临床疗效良好。

英文摘要: Objective:To explore the technical feasibility and clinical effect of assistant technique of laparoscopes for patients with colostomy. Methods:From March 2009 to March 2015, fifty cases were randomly divided into two groups for laparoscopic colostomy (trial group, 25 cases) and conventional open colostomy (control group, 25 cases) in Zhongshan City People's Hospital. The following data of two groups were recorded: operation time (mean operative time, intraoperative blood loss), postoperative recovery (postoperative pain score, bowel function recovery time, hospital stay) and postoperative complications. The long-term survival of the two groups was evaluated after 1 year of follow-up. Results:All of the 50 patients underwent operations smoothly without intraoperative complications, postoperative bleeding or abdominal infection. In the trial group, 5 cases were transferred to the open abdomen; the average operation time and the amount of bleeding in the operation were slightly higher than those of the control group, but the difference was not statistically significant (t=0.625, 0.729,P=0.671, 0.823); the recovery time of gastrointestinal function was (3.5±0.5) d, and the average hospitalization time was (7.0±0.5) d, significantly shorter than those of the control group (4.7±1.5) d, (10.5±1.5) d (t'=3.795, 7.911, both P<0.01). The pain score of the patients in the trial group was significantly lower (U=3.502, P<0.01). After a median follow-up of 10 months, there were 5 cases of tumor recurrence, 42 cases of survival, 7 cases of anastomotic stenosis and re-anastomosis. No statistically significant difference was found in the incidence of anastomotic leakage and stenosis between the two groups ( χ2=0.166, P=0.684). Conclusion:The application of laparoscopes in colostomy is safe and reliable, and it can significantly shorten the time of hospitalization and gastrointestinal function recovery with good clinical effect.
作者:

雒洪志;陈宏;周仕海;王尧;邓庆炎;冯春在

作者单位: 中山市人民医院普外三科
期刊: 中华普通外科学文献(电子版)
年.卷(期):页码 2017 .11(6):402-405
中图分类号:
文章编号:
引用格式: [1]雒洪志;陈宏;周仕海;王尧;邓庆炎;冯春在.腹腔镜辅助技术在结肠造口还纳术中的临床应用[J/CD].中华普通外科学文献(电子版),2017,11(6):402-405 .
关键词: 结肠造口术 腹腔镜 治疗结果 预后
英文关键词: Colostomy;Laparoscopes;Treatment outcome;Prognosis

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