吉林医学
吉林醫學
길림의학
JILIN MEDICAL JOURANL
2015年
10期
1980-1981
,共2页
腹腔镜%阑尾切除术%急慢性阑尾炎
腹腔鏡%闌尾切除術%急慢性闌尾炎
복강경%란미절제술%급만성란미염
Laparoscopic%Appendectomy%Acute or chronic appendicitis
目的：探讨腹腔镜阑尾切除术（ LA）治疗阑尾炎的效果以及总结经验。方法：回顾分析620例急慢性阑尾炎患者均行LA的临床资料，并进行总结分析。结果：620例阑尾炎患者中，613例行LA，3例行腹腔镜阑尾周围脓肿引流手术，其中有7例患者因异位阑尾根部穿孔伴盲肠水肿，LA不满意而转为开腹，所有患者均顺利完成手术。平均手术时间为（44.6±11.8）min，平均术中出血量（26.7±6.8）ml，平均术后使用抗生素时间（3.6±1.2）d；平均术后住院时间（3.2 ± 0.9）d。术后6例患者出现伤口感染，发生率0.97％，均经换药后治愈。结论：腹腔镜阑尾切除术是一种安全、有效的阑尾切除手术，可以在临床上广泛推广和应用。
目的：探討腹腔鏡闌尾切除術（ LA）治療闌尾炎的效果以及總結經驗。方法：迴顧分析620例急慢性闌尾炎患者均行LA的臨床資料，併進行總結分析。結果：620例闌尾炎患者中，613例行LA，3例行腹腔鏡闌尾週圍膿腫引流手術，其中有7例患者因異位闌尾根部穿孔伴盲腸水腫，LA不滿意而轉為開腹，所有患者均順利完成手術。平均手術時間為（44.6±11.8）min，平均術中齣血量（26.7±6.8）ml，平均術後使用抗生素時間（3.6±1.2）d；平均術後住院時間（3.2 ± 0.9）d。術後6例患者齣現傷口感染，髮生率0.97％，均經換藥後治愈。結論：腹腔鏡闌尾切除術是一種安全、有效的闌尾切除手術，可以在臨床上廣汎推廣和應用。
목적：탐토복강경란미절제술（ LA）치료란미염적효과이급총결경험。방법：회고분석620례급만성란미염환자균행LA적림상자료，병진행총결분석。결과：620례란미염환자중，613례행LA，3례행복강경란미주위농종인류수술，기중유7례환자인이위란미근부천공반맹장수종，LA불만의이전위개복，소유환자균순리완성수술。평균수술시간위（44.6±11.8）min，평균술중출혈량（26.7±6.8）ml，평균술후사용항생소시간（3.6±1.2）d；평균술후주원시간（3.2 ± 0.9）d。술후6례환자출현상구감염，발생솔0.97％，균경환약후치유。결론：복강경란미절제술시일충안전、유효적란미절제수술，가이재림상상엄범추엄화응용。
Objective To study effect and experience of laparoscopic appendectomy for appendicitis. Method Retrospective analysis was made on clinical data for 620 cases of acute or chronic appendicitis patients who were underwent LA,andthe results were summarized. Results Among 620 patients with acute appendicitis,613 cases underwent LA,3 underwent laparoscopic periappendiceal abscess drainage surgery,and 7 cases of patients with ectopic appendix perforation with cecal edema were converted to open surgery duing to unsatisfied LA. All patients were successfully completed surgery. The average operation time was(44. 6 ± 11. 8)min,the average amount of bleeding during operation (26. 7 ± 6. 8)ml,the average antibiotic use time after operation(3. 6 ± 1. 2)d;and the average in hospital time after operation(3. 2 ± 0. 9) d. After operation, 6 patients had wound infection, with the incidence of 0. 97%, who were cured after dressing change. Conclusion Laparoscopic appendectomy is a safe and effective appendectomy which can be clinically popularized.
