| 腹腔镜联合微波治疗闭合性肝外伤的临床体会 |
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| 引用本文： | 黄睿,王汉宁,向国安,陈开运,萧金丰,贺轲,段小鹏,何吉文. 腹腔镜联合微波治疗闭合性肝外伤的临床体会[J]. 腹腔镜外科杂志, 2012, 17(10): 745-748. DOI: 10.3969/j.issn.1009-6612.2012.10.009 |
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| 作者姓名： | 黄睿 王汉宁 向国安 陈开运 萧金丰 贺轲 段小鹏 何吉文 |
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| 作者单位： | 1.南华大学教学医院广东省第二人民医院,广东广州,510317;2.南华大学教学医院广东省第二人民医院,广东广州,510317;3.南华大学教学医院广东省第二人民医院,广东广州,510317;4.南华大学教学医院广东省第二人民医院,广东广州,510317;5.南华大学教学医院广东省第二人民医院,广东广州,510317;6.南华大学教学医院广东省第二人民医院,广东广州,510317;7.南华大学教学医院广东省第二人民医院,广东广州,510317;8.南华大学教学医院广东省第二人民医院,广东广州,510317 |
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| 基金项目： | 吴阶平医学会临床科研基金资助项目 |
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| 摘 要： | 目的:探讨腹腔镜联合微波治疗闭合性肝外伤的可行性及效果.方法:前瞻性随机对照将47例闭合性肝外伤患者分为腹腔镜联合微波组(A组,n =25)与开腹手术组(B组,n=22);对比两组手术情况、术后恢复情况及术后并发症.结果:A组术中出血量明显减少,术后无严重并发症发生,患者康复时间明显缩短.结论:相对传统开腹手术,腹腔镜微波治疗闭合性肝外伤具有患者创伤小、康复快、并发症少及住院时间短等优点,可作为治疗闭合性肝外伤的另一选择.
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| 关 键 词： | 闭合性肝外伤 微波消融 腹腔镜检查 剖腹术 对比研究 |
Laparoscopy combined with microwave ablation for blunt liver trauma |
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| Affiliation: | HUANG Rui,WANG Han-ning,XIANG Guo-an,et al.The Second People’s Hospital of Guangdong,Guangzhou 510317,China |
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| Abstract: | Objective： To investigate the feasibility and clinical results of Laparoscopy combined with microwave ablation for blunt liver trauma.Methods： Forty-seven patients with blunt hepatic trauma were randomly divided into group A（25 patients with laparoscopy combined with microwave ablation） and group B（22 patients with open surgery）.Clinical data of these patients were analyzed.Results： Compared with group B,blood loss was significantly reduced in group A.Length of hospital stay in group A was shorter than that in group B.Conclusions： Laparoscopy combined with microwave ablation was associated with less trauma,fewer complications and shorter hospital stay than traditional open surgery.It may be used as an alternation for blunt liver trauma. |
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| Keywords: | Blunt liver trauma Microwave ablation Laparoscopy Laparotomy Comparative study |
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