通讯作者:臧金林,E-mai:talkxyx:@163.com作者简介:张强(1982—)男,山东省青岛市立医院普通外二科主治医师,主要从事胃肠外科的研究。文章编号:1009-6612(2022)12-0889-04DOI:10.13499/j.cnki.fqjwkzz.2022.12.889·论著·腹腔镜Miles术盆底腹膜关闭与否近期疗效对比研究张强,于杰,臧金林(青岛市市立医院普通外二科,山东青岛,266011)【摘要】目的:探讨关闭盆底腹膜的腹腔镜Miles术的近期临床疗效。方法:回顾分析2017年1月至2022年3月接受腹腔镜Miles术的160例患者的临床资料。其中关闭盆底腹膜的82例患者作为观察组,不关闭盆底腹膜的78例为对照组。比较两组手术时间、出血量、术后首次进食时间、术后首次排气时间、住院总时间、肠梗阻及内疝发生率等指标,以分析腹腔镜Miles术中关闭盆底腹膜的围术期疗效。结果:观察组与对照组手术时间[(142.1±20.2)minvs.(136.3±18.9)min,P=0.061]、术中出血量[(105.4±10.1)mLvs.(102.5±9.7)mL,P=0.064]差异均无统计学意义。观察组术后首次排气时间[(48.8±8.1)hvs.(54.2±7.8)h,P<0.001]、肠梗阻发生率(2vs.9,P=0.023)、内疝发生率(0vs.6,P=0.032)低于对照组。结论:关闭盆底腹膜的腹腔镜Miles术具有临床实用价值,值得临床推广。【关键词】直肠肿瘤;Miles术;腹腔镜检查;盆底腹膜;疗效比较研究中图分类号:R735.3+7文献标识码:AAcomparativestudyoftheshort-termefficacyofpelvicfloorperitoneumclosureornotinlaparoscopicMilessurgeryZHANGQiang,YUJie,ZANGJin-lin.SecondDepartmentofGeneralSurgery,QingdaoMunicipalHospital,Qingdao266011,China【Abstract】Objective:Toexploretheshort-termclinicaleffectofclosingthepelvicfloorperitoneuminthelaparoscopicMilesoperation.Methods:Clinicaldataof160patientswhounderwentlaparoscopicMilessurgeryfromJan.2017toMar.2022wereretrospec-tivelyanalyzed.Patientsweredividedintotheobservationgroupandthecontrolgroup,82casesoflaparoscopicMilesoperationwithpelvicfloorperitoneumclosedwereintheobservationgroup;78casesoflaparoscopicMilesoperationwithoutclosingpelvicfloorperito-neumweretakenasthecontrolgroup.Thetwogroupswerecomparedintermsofintraoperativeindicatorssuchasoperationtime,bloodloss,short-termclinicalefficacyindicatorssuchasthefirsttimeofeatingaftertheoperation,thetimeoffirstexhaustingaftertheopera-tion,thetota...
