中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2013年
27期
121-122
,共2页
小切口阑尾切除术%腹腔镜阑尾切除术%疗效
小切口闌尾切除術%腹腔鏡闌尾切除術%療效
소절구란미절제술%복강경란미절제술%료효
The small incision appendectomy%Laparoscopic appendectomy%Curative effect
目的：探讨小切口阑尾切除术（OA）与腹腔镜阑尾切除术（LA）的临床疗效。方法：选择2011年3月-2013年3月收治的急性阑尾炎患者90例，据病情、适应症及患者意愿行LA（48例）和OA（42例），比较两组患者的手术时间、术中出血量、肛门排气时间术、术后进食时间、下床活动时间、术后并发症、住院时间及治疗前后WBC和CRP水平等指标。结果：LA组的术中出血量、肛门排气时间、术后进食时间、下床活动时间、术后并发症、住院时间较OA组明显减少；两组患者术后WBC和CRP水平均低于治疗前，而且LA组治疗后的WBC和CRP水平均低于OA组。结论：LA具有创伤小、康复快、并发症少等优点，其临床疗效明显优于小切口阑尾切除术。
目的：探討小切口闌尾切除術（OA）與腹腔鏡闌尾切除術（LA）的臨床療效。方法：選擇2011年3月-2013年3月收治的急性闌尾炎患者90例，據病情、適應癥及患者意願行LA（48例）和OA（42例），比較兩組患者的手術時間、術中齣血量、肛門排氣時間術、術後進食時間、下床活動時間、術後併髮癥、住院時間及治療前後WBC和CRP水平等指標。結果：LA組的術中齣血量、肛門排氣時間、術後進食時間、下床活動時間、術後併髮癥、住院時間較OA組明顯減少；兩組患者術後WBC和CRP水平均低于治療前，而且LA組治療後的WBC和CRP水平均低于OA組。結論：LA具有創傷小、康複快、併髮癥少等優點，其臨床療效明顯優于小切口闌尾切除術。
목적：탐토소절구란미절제술（OA）여복강경란미절제술（LA）적림상료효。방법：선택2011년3월-2013년3월수치적급성란미염환자90례，거병정、괄응증급환자의원행LA（48례）화OA（42례），비교량조환자적수술시간、술중출혈량、항문배기시간술、술후진식시간、하상활동시간、술후병발증、주원시간급치료전후WBC화CRP수평등지표。결과：LA조적술중출혈량、항문배기시간、술후진식시간、하상활동시간、술후병발증、주원시간교OA조명현감소；량조환자술후WBC화CRP수평균저우치료전，이차LA조치료후적WBC화CRP수평균저우OA조。결론：LA구유창상소、강복쾌、병발증소등우점，기림상료효명현우우소절구란미절제술。
Objective:To explore clinical efficacy of small incision appendectomy and laparoscopic appendectomy. Method:90 cases with acute appendicitis were divided into LA group(48 cases)and OA group(42 cases). Operative time,blood lossamount of flatus surgery,postoperative feeding time,ambulation time,postoperative complications,length of stay,WBC and CRP levels before and after treatment were observed in two groups. Result:Blood loss,anal exhaust time,the postoperative feeding time,ambulation time,postoperative complications,length of hospital stay in LA group were significantly shorter than the OA group,and the differences were statistically significant(P<0.05). WBC and CRP levels in two group were lower than before treatment,and WBC and CRP levels in LA group after treatment were lower than the OA group after treatment. Conclusion:LA has merits of trauma,faster recovery,fewer complications and its clinical efficacy is superior to the small incision appendectomy.
