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目的:探讨腹腔镜手术治疗急性阑尾炎的临床疗效。方法:将急性阑尾炎100例,按就诊顺序分为对照组与治疗组各50例,对照组进行常规手术切除治疗,治疗组给予腹腔镜手术治疗。观察比较两组患者手术时间、术中出血、术后排气时间、下床时间、住院天数、术后住院天数及切口感染、盆腔脓肿、肺部感染等不良反应发生情况。结果:对照组与治疗组手术时间相比没有显著差异,治疗组出血量(15±1.3)mL明显小于对照组(22±1.5)mL,治疗组的术后排气时间(29±0.5)h、下床时间(51.3±0.6)d、术后住院天数(6±0.5)d均明显小于对照组(P<0.05);不良反应:对照组切口感染8例(16%),盆腔脓肿3例(6%),肺部感染3例(6%);治疗组仅1例盆腔脓肿,无切口感染、肺部感染病例,均明显小于对照组。结论:腹腔镜手术治疗急性阑尾炎的临床疗效确切,不良反应小,值得推广应用。
Objective: To investigate the clinical efficacy of laparoscopic surgery for acute appendicitis. Methods: 100 cases of acute appendicitis were divided into the control group and the treatment group according to the order of treatment, 50 cases each. The control group was treated by conventional surgical resection and the treatment group was treated by laparoscopy. Observe and compare the two groups of patients operating time, intraoperative bleeding, postoperative exhaust time, bed time, hospital stay, postoperative hospital days and incision infection, pelvic abscess, lung infections and other adverse reactions. Results: There was no significant difference in the operation time between the control group and the treatment group. The bleeding volume in the treatment group (15 ± 1.3) mL was significantly lower than that in the control group (22 ± 1.5) mL. The postoperative exhaust time (29 ± 0.5) h , Bed-out time (51.3 ± 0.6) d, postoperative hospital stay (6 ± 0.5) d were significantly less than the control group (P <0.05); adverse reactions: the control group incision infection in 8 cases (16%), pelvic abscess in 3 cases (6%) and 3 cases (6%) of lung infection. Only 1 case of pelvic abscess, incision-free infection and pulmonary infection in the treatment group were significantly smaller than the control group. Conclusion: Laparoscopic surgery for acute appendicitis has definite curative effect and small adverse reactions. It is worth popularizing and applying.