摘要
Abstract
Objective:To explore the clinical effect of laparoscopy combined with interventional embolization in the treatment of traumatic hepatic rupture.Method:A retrospective analysis was performed on 92 patients with traumatic hepatic rupture admitted to Ji'an Central People's Hospital from June 2021 to June 2023,and they were divided into observation group and conventional group according to different treatment plans,with 46 cases in each group.The conventional group underwent laparoscopic surgery,and the observation group underwent laparoscopic combined with interventional embolization.The hemostatic efficiency,blood loss,surgery time,inflammation index,oxidative stress index and complication rate were compared between the two groups.Result:The effective rate of hemostasis in the observation group was 95.65%,which was higher than 78.26%in the conventional group,the difference was statistically significant(P<0.05).The blood loss of observation group was less than that of conventional group,and the surgery time was shorter than that of conventional group(P<0.05).Before treatment,there were no significant differences in serum levels of superoxide dismutase(SOD)and hypersensitive C reactive protein(hs-CRP)between the two groups(P>0.05).After treatment,hs-CRP was lower than that before surgery,SOD was higher than that before surgery,and hs-CRP in observation group was lower than that in conventional group,SOD was higher than that in conventional group(P<0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusion:The application of laparoscopy combined with interventional embolization in the treatment of traumatic hepatic rupture is more helpful to improve the hemostatic efficiency of patients,reduce the amount of blood loss,shorten the operation time,reduce inflammation and has high safety.关键词
创伤性肝破裂/手术时间/腹腔镜手术/介入栓塞术Key words
Traumatic hepatic rupture/Operation time/Laparoscopic surgery/Interventional embolization
