Comparison of laparoscopic and laparotomy for early detection and application value in blunt abdominal trauma

中国临床实用医学 Pub Date : 2014-01-25 DOI:10.3760/CMA.J.ISSN.1673-8799.2014.01.022

Zheng Lin, Binsheng Lin

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Abstract

Objective To compare in blunt abdominal trauma,the application value of laparoscopic early detection and traditional laparotomy compared.Methods from 2007 March-2012 year in October at the Institute for 96 cases of blunt abdominal trauma patients,divided into laparoscopy group and laparotomy group,to observe the postoperative recovery time,ECG monitoring time oxygen inhalation time,postoperative complications and mortality.Results laparoscopic exploration group of patients postoperative ECG monitoring time,compared with the control group,(ECG monitoring time)t=17.506 (P＜0.01).(continuous oxygen time) t=5.582 (P＜0.01),postoperative recovery time compared to the control group,t=14.756 (P＜0.01),with significant statistical difference significance.The postoperative complications compared with those in control group (P＜0.05 x2=7.253).The laparoscopic group died in 10％,while the control group patients died after operation in 14 cases (30.42％),x2=4.608,P＜0.05.Conclusion laparoscopy operation early interventional therapy can effectively reduce the mortality of patients after operation,complications,time and ECG monitoring time recovery to improve the postoperative patients,monitoring time,reduce the economic burden of the patients,improve the quality of life. Key words: Blunt abdominal trauma; Laparoscopy; laparotomy

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腹腔镜与剖腹手术对钝性腹部创伤早期发现的比较及应用价值

目的比较在钝性腹部外伤中，腹腔镜早期发现与传统开腹手术的应用价值。方法2007年3月-2012年10月在该所收治的96例钝性腹部外伤患者，分为腹腔镜组和开腹组，观察术后恢复时间、心电监护时间、吸氧时间、术后并发症及死亡率。结果腹腔镜探查组患者术后心电监测时间，与对照组比较，(心电监测时间)t=17.506 (P<0.01)。(连续供氧时间)t=5.582 (P<0.01)，术后恢复时间与对照组比较，t=14.756 (P<0.01)，差异有统计学意义。术后并发症与对照组比较(P<0.05, x2=7.253)。腹腔镜组术后死亡14例(30.42%)，对照组术后死亡14例(x2=4.608,P<0.05)。结论腹腔镜手术早期介入治疗可有效降低患者术后死亡率、并发症、恢复时间及心电监护时间，提高患者术后监护时间，减轻患者经济负担，提高患者生活质量。关键词:钝性腹部外伤;腹腔镜检查;剖腹手术

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中国临床实用医学

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