腹腔镜脾切除术术中术后临床观察

摘要

Objective To explore the clinical effects of laparoscopic splenectomy( LS) .Methods In 12 pa-tients undergoing LS,the operative time, blood loss, fasting time, postoperative wound pain scores, postoperative hos-pital stay were observed and analyzed.Results The operative time was 155~182 min, with an average of 170 min;intraoperative bleeding was 85~100 ml, with an average of 94 ml;the postoperative fasting time was 24~48 h, with an average of 40 h;On the first postoperative day,the wound pain score was 2~4, with an average of 3.1 points;third postoperative day incision pain score was 1~2 points, with an average of 1.2 points;postoperative hospital stay was 6~8, with an average of 7.3 days.Conclusion This method has some superiorities, including less trauma, less patients′pain, less blood loss, faster recovery, fewer complications, a small incision pain, shorter hospital stay, and so on.It is the best choice for splenectomy patients.%目的：探讨腹腔镜脾切除术（ LS）的临床效果。方法对12例行腹腔镜脾切除术患者的手术时间、术中出血量、禁食时间、术后切口疼痛评分、术后住院时间进行观察分析。结果手术时间为155～182 min，平均为170 min；手术中出血量为85～100 ml，平均为94 ml；术后禁食时间为24～48 h，平均为40 h；术后第1天切口疼痛评分得分为2～4分，平均为3.1分；术后第3天切口疼痛评分为1～2分，平均为1.2分；术后住院时间为6～8 d，平均为7.3 d。结论腹腔镜脾脏切除术具有创伤小、患者痛苦少、术中出血少、术后恢复快、并发症少、术后切口疼痛小，住院时间短、伤口小而美观等优点，是行脾切除术患者的最佳选择。