CAJ | 학술논문

　　目的观察腹腔镜探查在急腹症手术中的应用效果。方法选择我院2011年4月—2013年2月接受的急腹症患者120例，随机分为传统手术组与腹腔镜组各60例，传统手术组采用开腹手术治疗，腔镜组采用腹腔镜探查手术治疗。对比两组术中出血量、手术时间、住院时间、首次入厕时间、首次进食时间，对比两组患者术后并发症发生率。结果两组术中出血量、手术时间、住院时间、首次入厕时间、首次进食时间对比均P<0.05；腹腔镜组术后并发症发生率为3.33%，传统手术组为18.33%，两组术后并发症发生率对比X2=6.99,P<0.05，具有统计学意义。结论腹腔镜探查手术可明显减少急腹症术中出血量，缩短手术时间、住院时间及胃肠功能恢复时间，在临床急腹症手术治疗中具有重要价值。
　　목적관찰복강경탐사재급복증수술중적응용효과。방법선택아원2011년4월—2013년2월접수적급복증환자120례，수궤분위전통수술조여복강경조각60례，전통수술조채용개복수술치료，강경조채용복강경탐사수술치료。대비량조술중출혈량、수술시간、주원시간、수차입측시간、수차진식시간，대비량조환자술후병발증발생솔。결과량조술중출혈량、수술시간、주원시간、수차입측시간、수차진식시간대비균P<0.05；복강경조술후병발증발생솔위3.33%，전통수술조위18.33%，량조술후병발증발생솔대비X2=6.99,P<0.05，구유통계학의의。결론복강경탐사수술가명현감소급복증술중출혈량，축단수술시간、주원시간급위장공능회복시간，재림상급복증수술치료중구유중요개치。
Objective The observed effect of laparoscopic exploration in acute abdomen surgery. Methods Choose our hospital accepted in February 2013, April 2011, 120 cases of patients with acute abdomen traditional surgery were randomly divided into traditional surgery group and the laparoscopic group, 60 cases in each group were treated with open surgery, laparoscopic laparoscopy groupexploratory surgery. Compared two groups of blood loss, operative time, hospital stay, time to go to the toilet for the first time, feeding time for the first time, compared two groups of patients with postoperative morbidity. Results Two sets of blood loss, operative time, hospital stay, for the first time going to the toilet, eating for the first time vs. both P <0.05; the laparoscopic group complication rate was 3.33%, 18.33% in the conventional surgery group, both groupsThe complication rate after contrast X2 = 6.99, P <0.05, statisticaly significant. Conclusion Laparoscopic surgery can significantly reduce the acute abdomen blood loss, shorter operative time, hospital stay and gastrointestinal function recovery time, is of great value in the treatment of of clinical acute abdomen surgery.