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目的:探讨腹腔镜与开腹手术治疗肝血管瘤的对比观察。方法:选取我院2015年1月-2016年1月间收治的40例肝血管瘤患者。采用随机分组的方式,将其平均分为观察组(腹腔镜)和对照组(传统开腹手术)。对照组,采用传统开腹普通外科手术,行不规则肝叶切除术。观察组患者采用腹腔镜手术。结果:两组患者在手术后均没有大出血发生,也没有膈肌损伤、胆漏等并发症发生。两组患者在出血量、治疗费用和手术时间的对比,无统计学差异(P<0.05);术后住院恢复时间对照组明显长于观察组(P<0.05);切肝时间对照组短于观察组(P<0.05)。采用视觉模拟评分法对患者疼痛程度进行评定,评价分级为:0分为无痛,≤3分为轻度疼痛,4-6分为中度疼痛,≥7分为重度疼痛;10级及以上为剧烈疼痛;对照组视觉模拟评价要明显大于观察组。(P<0.05)。结论:从整体来看腹腔镜肝切除开腹手术更加具有实用性,值得借鉴并推广。
Objective: To investigate the comparative observation of laparoscopic and laparotomy in the treatment of hepatic hemangiomas. Methods: Forty patients with hepatic hemangiomas admitted in our hospital from January 2015 to January 2016 were enrolled. The patients were divided into observation group (laparoscopic) and control group (laparotomy) by random grouping. Control group, using conventional open abdominal surgery, irregular lobectomy. Patients in the observation group were treated with laparoscopic surgery. Results: No major hemorrhage occurred in both groups after operation, and no complications such as diaphragm injury and bile leakage occurred. There was no significant difference between the two groups in the amount of bleeding, the cost of treatment and the operation time (P <0.05). The postoperative hospital recovery time was significantly longer in the control group than in the observation group (P <0.05) Group (P <0.05). Visual acuity score was used to assess the degree of pain in patients. The evaluation was graded as follows: 0 for no pain, 3 for mild pain, 4-6 for moderate pain, ≥ 7 for severe pain, and 10 or more Severe pain; visual analogue evaluation of the control group was significantly larger than the observation group. (P <0.05). Conclusion: Laparoscopic hepatectomy and laparotomy is more practicable and worthy of reference and promotion.