医药前沿
醫藥前沿
의약전연
YIAYAO QIANYAN
2015年
3期
24-25,26
,共3页
腹腔镜%阑尾炎切除术%疗效%安全性
腹腔鏡%闌尾炎切除術%療效%安全性
복강경%란미염절제술%료효%안전성
Laparoscopy%Appendectomy%Efficacy%Safety
目的：探讨急性阑尾炎患者实施腹腔镜阑尾切除术的临床疗效及治疗的安全性。方法：2014年1月—2014年8月期间，80例急性阑尾炎患者，根据随机数字法，分为对照组和观察组，分别给予开腹胆囊切除术和腹腔镜胆囊切除术，对两组患者术中情况（手术时间、术中出血量）、术后恢复情况（下床时间、术后排气时间），以及术后并发症的发生率，进行观察和比较。结果：观察组较对照组术中出血量明显减少，P＜0.05，而手术时间较对照组没有明显延长，P＞0.05；观察组较对照组下床时间、术后排气时间均显著缩短，P＜0.05；观察组较对照组术后并发症发生率显著降低，P＜0.05。结论：腹腔镜阑尾切除术治疗急性阑尾炎，具有疗效显著、安全性高等特点，明显提高患者的预后质量及康复速度。
目的：探討急性闌尾炎患者實施腹腔鏡闌尾切除術的臨床療效及治療的安全性。方法：2014年1月—2014年8月期間，80例急性闌尾炎患者，根據隨機數字法，分為對照組和觀察組，分彆給予開腹膽囊切除術和腹腔鏡膽囊切除術，對兩組患者術中情況（手術時間、術中齣血量）、術後恢複情況（下床時間、術後排氣時間），以及術後併髮癥的髮生率，進行觀察和比較。結果：觀察組較對照組術中齣血量明顯減少，P＜0.05，而手術時間較對照組沒有明顯延長，P＞0.05；觀察組較對照組下床時間、術後排氣時間均顯著縮短，P＜0.05；觀察組較對照組術後併髮癥髮生率顯著降低，P＜0.05。結論：腹腔鏡闌尾切除術治療急性闌尾炎，具有療效顯著、安全性高等特點，明顯提高患者的預後質量及康複速度。
목적：탐토급성란미염환자실시복강경란미절제술적림상료효급치료적안전성。방법：2014년1월—2014년8월기간，80례급성란미염환자，근거수궤수자법，분위대조조화관찰조，분별급여개복담낭절제술화복강경담낭절제술，대량조환자술중정황（수술시간、술중출혈량）、술후회복정황（하상시간、술후배기시간），이급술후병발증적발생솔，진행관찰화비교。결과：관찰조교대조조술중출혈량명현감소，P＜0.05，이수술시간교대조조몰유명현연장，P＞0.05；관찰조교대조조하상시간、술후배기시간균현저축단，P＜0.05；관찰조교대조조술후병발증발생솔현저강저，P＜0.05。결론：복강경란미절제술치료급성란미염，구유료효현저、안전성고등특점，명현제고환자적예후질량급강복속도。
Objective To study the clinical efficacy and treatment safety of laparoscopic appendectomy for patients with acute appendicitis.Methods The 80 cases of acute appendicitis in our hospital during the period from Jan 2014 to August 2014 were randomized into the control group (cholecystectomy) and the observation group (laparoscopic appendectomy). The operation condition (operation time, intraoperative bleeding volume), postoperative recovery condition (bed time, postoperative exhaust time), and the incidence of the postoperative complications in the two groups were observed and compared.Results Compared with the control group, the intraoperative bleeding volume was significantly reduced in the observation group (P<0.05) and the operation time was not increased in the observation group (P>0.05); compared with the control group, the bed time and postoperative exhaust time were obviously decreased in the observation group (P<0.05); compared with the control group, the incidence of postoperative complications was significantly reduced in the observation group (P<0.05).Conclusion The laparoscopic appendectomy treatment for acute appendicitis has the characteristics such as curative effect and high safety, significantly improve the patients’ prognosis quality and recovery acceleration.
