腹腔镜联合TEM在结直肠手术中的临床应用

发布时间：2018-05-16 00:45

本文选题：腹腔镜联合TEM + 结肠次全切除　；参考：《吉林大学》2015年硕士论文

【摘要】：目的：观察腹腔镜联合TEM在结直肠手术中的远期临床效果。方法：将2010年3月至2013年3月在吉林大学附属第二医院接受结肠次全切手术的80例慢传输性便秘及家族性腺瘤性息肉病患者纳入研究，采用随机数字表法分为观察组和对照组，观察组患者接受腹腔镜联合TEM手术、对照组患者接受开腹手术。比较两组患者的手术情况以及术后恢复情况。结果：观察组患者的手术时间短于对照组〔（114.52±18.42）vs（187.69±25.85）min〕，，术中出血量少于对照组〔（48.85±6.83）vs（97.34±11.83）ml〕，切除标本长度与对照组无差异。观察组患者术后肛门排气时间短于对照组〔（2.92±0.44）vs（4.11±0.59）d〕，术后3d胃肠道激素（胃动素、胃泌素）含量〔（78.2±10.5）vs（57.5±7.9）pg/ml，（238.3±42.1）vs（158.7±25.2）pg/ml〕高于对照组，术后12个月的胃肠生活质量指数（GIQLI）高于对照组〔（102.7±14.5）vs（82.8±9.3）〕，营养风险筛查标准（NRS）高于对照组。结论：腹腔镜联合TEM器械在结肠次全切除手术治疗慢传输性便秘及家族性腺瘤性息肉病中临床疗效显著。
[Abstract]:Objective: to observe the long-term clinical effect of laparoscopy combined with TEM in colorectal surgery. Methods: from March 2010 to March 2013, 80 patients with slow transit constipation and familial adenomatous polyposis underwent subtotal colonic resection in the second affiliated Hospital of Jilin University. The patients in the observation group received laparoscopy combined with TEM operation, and the patients in the control group received open surgery. The operation and postoperative recovery were compared between the two groups. Results: the operative time of the patients in the observation group was shorter than that in the control group (114.52 卤18.42)vs(187.69 卤25.85 min), and the amount of intraoperative bleeding was less than that in the control group (48.85 卤11.83 6.83)vs(97.34 卤11.83). There was no difference in the length of the excision specimen between the two groups. The postoperative anal exhaust time in the observation group was shorter than that in the control group (2.92 卤0.44)vs(4.11 卤0.59), and the content of gastrointestinal hormones (motilin, gastrin) in the observation group was 78.2 卤7.9 10.5)vs(57.5 卤7.9 42.1)vs(158.7 卤25.2 42.1)vs(158.7 卤25.2 渭 g / ml on the 3rd day after operation, and the gastrointestinal quality of life index (GIQLI) was significantly higher than that in the control group (102.7 卤14.5)vs(82.8 卤9.3) at 12 months after operation. The nutritional risk screening standard (NRSs) was higher than that of the control group. Conclusion: laparoscopy combined with TEM instrument is effective in the treatment of slow transit constipation and familial adenomatous polyposis.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R656

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