Laparoscopic abdominal trauma and the diagnosis and treatment of gastrointestinal tract injury in application
10.3760/cma.j.issn.1008-6706.2013.06.009
- VernacularTitle:腹腔镜在腹部创伤并胃肠道损伤诊治中的应用
- Author:
Qun FANG
;
Haiyan LIU
- Publication Type:Journal Article
- Keywords:
Laparoscopic;
Abdominal injury;
The gastrointestinal tract;
Injury and trauma
- From:
Chinese Journal of Primary Medicine and Pharmacy
2013;20(6):819-820
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore of laparoscopic abdominal trauma used in the diagnosis and treatment of gastrointestinal tract injury.Methods 180 cases of abdominal trauma and gastrointestinal injury were randomly divided into three groups,A group of 60 cases was given conventional nonoperative treatment,B group of 90 cases was given laparoscopic exploration to surgical treatment,C group of 30 cases was open to probe the surgical treatment.The clinical effect of three groups was observed.Results After treatment,A group of recovered 32 cases,improvement in 16 cases,invalid in 12 cases,the total effective rate 80.0％,length of hospital stay (8 ±4)d,B group healed 58 cases,30 cases improved,invalid in 2 cases,the total effective rate 97.8％,length of hospital stay (8 ± 3) d,C group of 19 cases were healed,better 10 cases,1 case ineffective,the total effective rate 96.7％,length of hospital stay (15 ± 5) d,A,B and C group total effective rate differences were statistically significant (x2 =13.45,4.50,all P ＜0.05).C group hospitalization time was longer than that in A,B group (t =5.24,3.34,all P ＜ 0.05).Conclusion Laparoscopic exploration surgery for abdominal trauma and gastrointestinal injury has better diagnosis and treatment effect,which can reduce the time in hospital to improve the prognosis of patients.
