摘要
目的探讨腹部穿透伤的剖腹探查指征 ,以降低剖腹探查率。方法回顾性分析1999年 6月以前 78例腹部穿透伤临床资料 ,拟定剖腹探查指征。再经 1999年 6月至 2 0 0 0年 6月临床收治的 5 3例患者 (实验组 )应用后 ,与对照组 78例患者剖腹探查率进行对比分析。结果应用探查指征前后对比其剖腹探查率分别为 91%和 6 4 % ,χ2 =14 5 1,P <0 0 1差异有显著意义。结论筛选制定的腹部穿透伤剖腹指征对降低该病的剖腹探查率和探查率阴性率有很高的临床应用价值。
Objective To decrease negative laparotomy in patients suffering from penetrating abdominal wounds. Methods The clinical data of 78 cases of penetrating abdominal wounds undergoing exploratory laparotomy before Jun. 1999 were retrospectively reviewed, and new indication was developed and was applied to 53 cases admitted between Jun. 1999 and Jun. 2000. Results Compared with the 91% of exploratory laparotomy in 78 cases before Jun. 1999, the rate of exploratory laparotomy of penetrating wounds of the abdomen in the 53 cases admitted after Jun. 1999 was 64%. The difference was significant(χ 2=14.51, P <0.01). Conclusions The new indication effectively decreases the negative laparotomy and is clinically applicable.
出处
《中华普通外科杂志》
CSCD
北大核心
2003年第9期548-549,共2页
Chinese Journal of General Surgery
