中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2014年
25期
22-23
,共2页
腹腔镜%开腹%阑尾切除术%阑尾穿孔
腹腔鏡%開腹%闌尾切除術%闌尾穿孔
복강경%개복%란미절제술%란미천공
Laparoscope%Laparotomy%Appendectomy%Appendix perforation
目的：探讨腹腔镜阑尾切除术治疗阑尾穿孔的临床疗效。方法62例阑尾穿孔患者随机分为开腹组和腹腔镜组(各31例)，开腹组行开腹阑尾切除术，腹腔镜组行腹腔镜阑尾切除术，比较两组患者的住院时间、术中出血量、手术时间、并发症发生率等。结果腹腔镜组患者的住院时间、手术时间均明显比开腹组更短(P<0.05)，术中出血量明显比开腹组更少(P<0.05)，差异均有统计学意义；腹腔镜组的并发症发生率为6.5%(2/31)，开腹组为45.2%(14/31)，组间比较，差异有统计学意义(P<0.05)。结论采用腹腔镜阑尾切除术治疗阑尾穿孔，能有效降低腹腔残余感染、肠粘连、切口感染等并发症发生率，减少术中出血量，缩短手术时间，是治疗阑尾穿孔的理想术式。
目的：探討腹腔鏡闌尾切除術治療闌尾穿孔的臨床療效。方法62例闌尾穿孔患者隨機分為開腹組和腹腔鏡組(各31例)，開腹組行開腹闌尾切除術，腹腔鏡組行腹腔鏡闌尾切除術，比較兩組患者的住院時間、術中齣血量、手術時間、併髮癥髮生率等。結果腹腔鏡組患者的住院時間、手術時間均明顯比開腹組更短(P<0.05)，術中齣血量明顯比開腹組更少(P<0.05)，差異均有統計學意義；腹腔鏡組的併髮癥髮生率為6.5%(2/31)，開腹組為45.2%(14/31)，組間比較，差異有統計學意義(P<0.05)。結論採用腹腔鏡闌尾切除術治療闌尾穿孔，能有效降低腹腔殘餘感染、腸粘連、切口感染等併髮癥髮生率，減少術中齣血量，縮短手術時間，是治療闌尾穿孔的理想術式。
목적：탐토복강경란미절제술치료란미천공적림상료효。방법62례란미천공환자수궤분위개복조화복강경조(각31례)，개복조행개복란미절제술，복강경조행복강경란미절제술，비교량조환자적주원시간、술중출혈량、수술시간、병발증발생솔등。결과복강경조환자적주원시간、수술시간균명현비개복조경단(P<0.05)，술중출혈량명현비개복조경소(P<0.05)，차이균유통계학의의；복강경조적병발증발생솔위6.5%(2/31)，개복조위45.2%(14/31)，조간비교，차이유통계학의의(P<0.05)。결론채용복강경란미절제술치료란미천공，능유효강저복강잔여감염、장점련、절구감염등병발증발생솔，감소술중출혈량，축단수술시간，시치료란미천공적이상술식。
Objective To investigate the clinical effect of laparoscopic appendectomy in the treatment of appendix perforation. Methods A total of 62 cases of appendix perforation were randomly divided into laparotomy group and laparoscope group, and each group contained 31 cases. Laparotomy group was treated by laparotomy appendicectomy, and laparoscope group was treated by laparoscopic appendectomy. Hospital stays, intraoperative bleeding volume, operation time, and incidence of complications were compared. Results Hospital stays and operation time of laparoscope group were shorter than those of laparotomy group (P<0.05), and intraoperative bleeding volume was less than the laparotomy group. The differences had statistical significance. The incidence of complications of laparoscope group was 6.5%(2/31), and that of laparotomy group was 45.2%(14/31). The difference between the two groups was statistical significant (P<0.05). Conclusion Laparoscopic appendectomy in the treatment of appendix perforation can reduce the incidence of abdominal residual infection, intestinal adhesion, wound infection and other complications, and it can provide short operation time and decrease intraoperative bleeding volume. It is an ideal surgical treatment for appendix perforation.
