摘要
目的探讨腹腔镜在闭合性腹部外伤诊治中的应用意义。方法选取2010年4月～2012年8月于本院进行剖腹探查的38例闭合性腹部外伤患者为对照组，同期采用腹腔镜探查的38例患者为观察组，将两组患者的排气时间、住院时间、并发症发生率、术后不同时间的VAS评分及手术前后的血清超敏C反应蛋白、皮质醇及肾上腺素水平进行统计及比较。结果观察组的排气时间及住院时间均短于对照组，并发症发生率均低于对照组，术后1d、3d的VAS评分均低于对照组，而血清超敏C反应蛋白、皮质醇及肾上腺素水平均低于对照组，P均〈0．05，均有显著性差异。结论：腹腔镜在闭合性腹部外伤诊治中的应用价值较高，对于患者的不良影响更小。
Objective To study the application significance of laparoseope in the treatment and diagnosis of blunt abdom- inal trauma. Methods 38 patients who were treated with exploratory laparotomy in our hospital from April 2010 to August 2012 were selected as control group, and 38 patients with laparoscopic exploration at the same time were selected as observation group, then the incidence of complications, exhaust time, hospitalization time, VAS score after the operation and serum high-sensitivity C-reactive protein,hydrocortisone and epinephrine before and after the operation were analyzed and compared. Results The exhaust time and hospitalization time of observation group were shorter than those of control group, incidence of complications was lower than that of control group,VAS score after the operation at first and third day were lower than those of control group, serum high-sensitivity C-reactive protein, hydrocortisone and epinephrine were all lower than those of control group, all P 〈 0.05, there were all significant differences. Conclusion The application value of laparoscope in the treatment and diagnosis of blunt abdominat trauma is higher,and its bad influence for the patients is smaller.
出处
《四川医学》
CAS
2013年第4期529-530,共2页
Sichuan Medical Journal
关键词
腹腔镜
闭合性腹部外伤
应用意义
laparoscope
blunt abdominal trauma
application significance
