简介: 【摘 要】目的:探究腹腔镜联合消化内镜治疗胃肠道肿瘤与单纯腹腔镜的治疗效果。方法:于 2018年 4月~ 2020年 4月期间,随机抽取在我院接受治疗的 120例胃肠道肿瘤患者作为观察对象,对患者进行分组处理,入院号单号者为观察组( 60例),采取腹腔镜联合消化内镜治疗;入院号双号者为对照组( 60例),采取单纯腹腔镜治疗。分别观察两组患者的治疗效果、手术情况以及患者治疗后的不良反应发生情况。结果:观察组患者的治疗总有效率为 96.7%,显著高于对照组的 80.0%,两组比较具有统计学意义( =8.0863; P<0.05);观察组患者手术时间和住院时间更短、术中出血量也更少,各指标进行比较的差异具有统计学意义( P<0.05);同时,观察组患者中,出现恶心、腹痛等不良反应的有 3例,占 5.0%,对照组中有 18例患者出现了上述不良反应,两组患者的不良反应发生率比较具有统计学意义( =12.9870; P<0.05)。结论:腹腔镜联合消化内镜治疗胃肠道肿瘤的效果较好,治疗的有效率高,随访观察中患者出现不良反应的发生率也较低,治疗的有效性和安全性高,手术进展的情况也更加顺利,缩短了手术时间和住院时间,临床应用的安全性和可行性高,值得进行推广。 【关键词】腹腔镜;消化内镜;胃肠道肿瘤;治疗效果 [Abstract] Objective: To explore the effect of laparoscopy combined with digestive endoscopy in the treatment of gastrointestinal tumors and laparoscopy alone. Methods: from April 2018 to April 2020, 120 cases of gastrointestinal cancer patients in our hospital were randomly selected as the observation objects, and the patients were divided into two groups: the observation group (60 cases) with admission number and odd number was treated by laparoscopy combined with digestive endoscopy; the patients with double admission number were the control group (60 cases), and were treated with simple laparoscopy. The treatment effect, operation and adverse reactions of the two groups were observed respectively. Results: the total effective rate of the observation group was 96.7%, which was significantly higher than 80.0% of the control group, the comparison between the two groups was statistically significant (= 8.0863; P < 0.05); the operation time and hospitalization time of the observation group were shorter, and the intraoperative blood loss was also less, the difference of each index was statistically significant (P < 0.05); at the same time, in the observation group, nausea, abdominal pain, etc There were 3 cases of good reaction, accounting for 5.0%, 18 cases of patients in the control group had the above adverse reactions, the incidence of adverse reactions between the two groups was statistically significant (= 12.9870; P < 0.05). Conclusion: the effect of laparoscopy combined with digestive endoscopy in the treatment of gastrointestinal cancer is good, the effective rate of treatment is high, the incidence of adverse reactions in patients with follow-up observation is also low, the treatment is effective and safe, the operation progress is more smooth, shorten the operation time and hospital stay, the clinical application of safety and feasibility is high, it is worth promoting.
简介:微型腹腔镜是指3mm以下的腹腔镜及器械,较普通腹腔镜具有创伤更小,恢复更快,更符合美学要求等优点.手术操作时要求医生与护士必须具有高度的责任心和熟练的腹腔镜操作技术.术前在准备微型腹腔镜器械的同时,还需常规备好普通腹腔镜器械,以备术中操作困难时使用.将选好的器械置于特制器械架上,用浸泡或熏蒸法消毒,防止器械碰撞折断,必要时套硅胶管加以保护.因微型腹腔镜器械精细,对组织的抓持力度不够,或钛夹长度小,仅为5mm,因此分离组织管径75mm时应换用10mm钛夹和其他相应普通器械.所以,器械护士应备好各种型号的钛夹,检查器械性能,认真观看显示屏上手术操作步骤,准确传递器械,传递过程中动作要轻柔、快捷,防止损坏,用完后及时收回,以防掉落.术后仔细刷洗器械,尤其是鞘管器械;由于管腔较细,难以冲刷,应将各关节打开用细毛刷反复刷洗至无血迹及残余组织为止.并用大量清水用力冲洗吸引器头,避免遗留残物.器械上油后,放于固定处通风干燥,由专职护士定期保养检查.
简介:摘要目的对腹腔镜妇科手术中实施气管内插管静脉复合麻醉、腰-硬联合麻醉及硬膜外阻滞复合气管内插管静脉全身麻醉的麻醉效果进行比较分析。方法选取2016年3月—2017年3月在我院实施腹腔镜妇科手术的240例患者作为此次研究对象,随机分为A组(120例)和B组(120例),A组患者给予气管插管静吸复合麻醉,B组患者给予舒芬太尼,对两组患者的麻醉效果进行比较分析。结果(1)T1段与T0段在收缩压、舒张压及心率比较具有差异(P<0.05);B组患者在T1段与A组患者在收缩压、舒张压及心率比较具有差异(P<0.05)。(2)A组患者的麻醉清醒时间明显优于B组患者,数据差异具有统计学意义(P<0.05)。结论应根据患者的实际情况及手术的时间来选择适当的麻醉方案,以保证手术可以顺利的实施,提高患者的手术效果。