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目的对消化内镜在胃肠道手术中效果进行评价。方法我院胃肠外科2015年2月到2016年2月共收治在消化内镜下进行胃肠道手术患者44例为观察组,同期开腹手术治疗胃肠道疾病患者64例为对照组。结果观察组、对照组共108例患者手术均获得成功;观察组手术时间(85±14)min,对照组手术时间(126±11)min,观察组手术时间远少于对照组;观察组术中流血(410±30)mL,对照组术中流血(760±45)min,观察组术中流血量远少于对照组,差异有统计学意义(P<0.05);观察组无吻合口出血、腹腔脓肿、肠漏等并发症发生,对照组出现6例吻合口出血,5例严重肠粘连;观察组在住院时间、住院费用与对照组相比有明显优势。结论消化内镜在胃肠道手术中,可减少术中出血量,缩短手术时间,减少并发症发生率,应在临床得到推广。
Objective To evaluate the effect of digestive endoscopy in gastrointestinal surgery. Methods Gastrointestinal surgery in our hospital from February 2015 to February 2016 were treated 44 cases of gastrointestinal surgery under digestive endoscopy in the observation group, the same period of open surgery for the treatment of gastrointestinal diseases in 64 patients as the control group. Results In the observation group and the control group, 108 patients were successfully operated. The operation time (85 ± 14) min in the observation group and 126 ± 11 min in the control group were significantly shorter than those in the control group. The observation group (410 ± 30) mL in the control group, and blood loss in the control group (760 ± 45) min during the operation. The blood loss in the observation group was much less than that in the control group (P <0.05) , Abdominal abscess, intestinal leakage and other complications occurred in the control group, 6 cases of anastomotic bleeding, 5 cases of severe intestinal adhesion; observation group in hospitalization, hospitalization costs compared with the control group has obvious advantages. Conclusion Digestive endoscopy in gastrointestinal surgery, can reduce intraoperative bleeding, shorten the operation time and reduce the incidence of complications, should be clinically promoted.