本文選題：腹腔鏡聯(lián)合TEM + 結(jié)腸次全切除�。� 參考：《吉林大學(xué)》2015年碩士論文

【摘要】：目的：觀察腹腔鏡聯(lián)合TEM在結(jié)直腸手術(shù)中的遠(yuǎn)期臨床效果。 方法：將2010年3月至2013年3月在吉林大學(xué)附屬第二醫(yī)院接受結(jié)腸次全切手術(shù)的80例慢傳輸性便秘及家族性腺瘤性息肉病患者納入研究，采用隨機(jī)數(shù)字表法分為觀察組和對照組，觀察組患者接受腹腔鏡聯(lián)合TEM手術(shù)、對照組患者接受開腹手術(shù)。比較兩組患者的手術(shù)情況以及術(shù)后恢復(fù)情況。 結(jié)果：觀察組患者的手術(shù)時間短于對照組〔（114.52±18.42）vs（187.69±25.85）min〕，，術(shù)中出血量少于對照組〔（48.85±6.83）vs（97.34±11.83）ml〕，切除標(biāo)本長度與對照組無差異。觀察組患者術(shù)后肛門排氣時間短于對照組〔（2.92±0.44）vs（4.11±0.59）d〕，術(shù)后3d胃腸道激素（胃動素、胃泌素）含量〔（78.2±10.5）vs（57.5±7.9）pg/ml，（238.3±42.1）vs（158.7±25.2）pg/ml〕高于對照組，術(shù)后12個月的胃腸生活質(zhì)量指數(shù)（GIQLI）高于對照組〔（102.7±14.5）vs（82.8±9.3）〕，營養(yǎng)風(fēng)險篩查標(biāo)準(zhǔn)（NRS）高于對照組。 結(jié)論：腹腔鏡聯(lián)合TEM器械在結(jié)腸次全切除手術(shù)治療慢傳輸性便秘及家族性腺瘤性息肉病中臨床療效顯著。
[Abstract]:Objective: to observe the long-term clinical effect of laparoscopy combined with TEM in colorectal surgery. Methods: from March 2010 to March 2013, 80 patients with slow transit constipation and familial adenomatous polyposis underwent subtotal colonic resection in the second affiliated Hospital of Jilin University. The patients in the observation group received laparoscopy combined with TEM operation, and the patients in the control group received open surgery. The operation and postoperative recovery were compared between the two groups. Results: the operative time of the patients in the observation group was shorter than that in the control group (114.52 鹵18.42)vs(187.69 鹵25.85 min), and the amount of intraoperative bleeding was less than that in the control group (48.85 鹵11.83 6.83)vs(97.34 鹵11.83). There was no difference in the length of the excision specimen between the two groups. The postoperative anal exhaust time in the observation group was shorter than that in the control group (2.92 鹵0.44)vs(4.11 鹵0.59), and the content of gastrointestinal hormones (motilin, gastrin) in the observation group was 78.2 鹵7.9 10.5)vs(57.5 鹵7.9 42.1)vs(158.7 鹵25.2 42.1)vs(158.7 鹵25.2 渭 g / ml on the 3rd day after operation, and the gastrointestinal quality of life index (GIQLI) was significantly higher than that in the control group (102.7 鹵14.5)vs(82.8 鹵9.3) at 12 months after operation. The nutritional risk screening standard (NRSs) was higher than that of the control group. Conclusion: laparoscopy combined with TEM instrument is effective in the treatment of slow transit constipation and familial adenomatous polyposis.
【學(xué)位授予單位】：吉林大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：R656

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