摘要
目的:探究腹腔镜联合介入栓塞术治疗创伤性肝破裂的临床效果。方法:回顾性分析2021年6月—2023年6月吉安市中心人民医院收治的92例创伤性肝破裂患者,根据不同治疗方案将其分为观察组和常规组,各46例。其中常规组行腹腔镜手术,观察组行腹腔镜联合介入栓塞术。对比两组止血有效率、出血量、手术时间、炎症指标、氧化应激指标及并发症发生率。结果:观察组止血有效率达95.65%,高于常规组的78.26%,差异有统计学意义(P<0.05)。观察组出血量少于常规组,手术时间短于常规组(P<0.05)。治疗前,两组血清超氧化物歧化酶(SOD)、超敏C反应蛋白(hs-CRP)水平比较,差异均无统计学意义(P>0.05);治疗后,两组hs-CRP均低于术前,SOD均高于术前,且观察组hs-CRP低于常规组,SOD高于常规组(P<0.05)。两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:腹腔镜联合介入栓塞术应用于创伤性肝破裂治疗中,更有助于提高患者的止血有效率,减少出血量,缩短手术时间,降低炎症反应且安全性高。
Objective:To explore the clinical effect of laparoscopy combined with interventional embolization in the treatment of traumatic hepatic rupture.Method:A retrospective analysis was performed on 92 patients with traumatic hepatic rupture admitted to Ji’an Central People's Hospital from June 2021 to June 2023,and they were divided into observation group and conventional group according to different treatment plans,with 46 cases in each group.The conventional group underwent laparoscopic surgery,and the observation group underwent laparoscopic combined with interventional embolization.The hemostatic efficiency,blood loss,surgery time,inflammation index,oxidative stress index and complication rate were compared between the two groups.Result:The effective rate of hemostasis in the observation group was 95.65%,which was higher than 78.26%in the conventional group,the difference was statistically significant(P<0.05).The blood loss of observation group was less than that of conventional group,and the surgery time was shorter than that of conventional group(P<0.05).Before treatment,there were no significant differences in serum levels of superoxide dismutase(SOD)and hypersensitive C reactive protein(hs-CRP)between the two groups(P>0.05).After treatment,hs-CRP was lower than that before surgery,SOD was higher than that before surgery,and hs-CRP in observation group was lower than that in conventional group,SOD was higher than that in conventional group(P<0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusion:The application of laparoscopy combined with interventional embolization in the treatment of traumatic hepatic rupture is more helpful to improve the hemostatic efficiency of patients,reduce the amount of blood loss,shorten the operation time,reduce inflammation and has high safety.
作者
罗盛瑞
杨武
王义宣
LUO Shengrui;YANG Wu;WANG Yixuan(Department of Emergency,Ji’an Central People's Hospital,Ji’an 343000,China;不详)
出处
《中国医学创新》
CAS
2024年第31期123-126,共4页
Medical Innovation of China
关键词
创伤性肝破裂
手术时间
腹腔镜手术
介入栓塞术
Traumatic hepatic rupture
Operation time
Laparoscopic surgery
Interventional embolization
