微创介入技术治疗放射性肠炎的疗效

发布时间：2018-02-23 23:32

本文关键词： 微创介入技术放射性肠炎　出处：《中国老年学杂志》2015年05期 　论文类型：期刊论文

【摘要】：目的观察微创介入技术治疗放射性肠炎的临床疗效及其安全性。方法选择该院2011年5月至2014年11月收治的60例老年重症放射性肠炎患者作为观察对象,随机分为观察组和对照组。观察组30例,采用微创介入技术治疗;对照组30例,采用传统开腹手术治疗。观察两组患者手术时间、术中出血量和术后并发症发生情况,以及近期临床疗效。结果观察组:手术时间(130±22)min,术中出血量(79±25)ml,并发症发生率10.0%,总有效率100.0%;对照组:手术时间(178±23)min,术中出血量(330±60)ml,并发症发生率30.0%,总有效率100.0%。观察组手术时间、术中出血量和并发症发生率与对照组比较,差异有统计学意义(P0.05)。结论与传统开腹手术比较,微创介入技术治疗老年重症放射性肠炎可取得等同的临床治疗效果;同时可缩短手术时间,减少术中出血量和降低术后并发症发生率。
[Abstract]:Objective to observe the clinical efficacy and safety of minimally invasive interventional technique in the treatment of radiation enteritis. Methods 60 elderly patients with severe radiation enteritis from May 2011 to November 2014 were selected as observation objects. The patients in the observation group were randomly divided into two groups: the observation group (n = 30) and the control group (n = 30), which were treated with minimally invasive interventional technique, and those in the control group (n = 30) were treated with traditional open surgery. The time of operation, the amount of intraoperative bleeding and the incidence of postoperative complications were observed. Results in the observation group, the operative time was 130 卤22 minutes, the intraoperative bleeding volume was 79 卤25ml, the complication rate was 10.0, the total effective rate was 100.0.The control group: the operation time was 178 卤23 minutes, the intraoperative bleeding volume was 330 卤60ml, the complication rate was 30.0 and the total effective rate was 100.0.The operative time of the observation group, Compared with the control group, the amount of intraoperative bleeding and the incidence of complications were significantly different (P 0.05). Conclusion compared with the traditional open surgery, minimally invasive interventional technique can achieve the same clinical effect in the treatment of severe radiation enteritis in the elderly. At the same time, it can shorten the operation time, reduce the amount of intraoperative bleeding and reduce the incidence of postoperative complications.
【作者单位】：重庆三峡中心医院普外二科;重庆三峡中心医院神经内科;
【基金】：2014年重庆市万州区重点科技计划项目(201403009)
【分类号】：R730.55

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