中国中西医结合外科杂志
中國中西醫結閤外科雜誌
중국중서의결합외과잡지
CHINESE JOURNAL OF SURGERY OF INTEGRATED TRADITIONAL AND WESTERN MEDICINE
2015年
2期
128
,共1页
慢性阑尾炎%慢性胆囊炎%腹腔镜手术
慢性闌尾炎%慢性膽囊炎%腹腔鏡手術
만성란미염%만성담낭염%복강경수술
Chronic appendicitis%chronic cholecystitis%laparoscopic operation
目的：探讨慢性阑尾炎合并慢性胆囊炎的手术治疗方法。方法：回顾分析74例慢性阑尾炎合并慢性胆囊炎患者资料，分为腹腔镜手术组（腹腔镜组）39例，开腹手术组（开腹组）35例，观察两组的临床疗效，包括手术时间、首次排气时间、首次排便时间、术后并发症的发生率以及术后住院时间。结果：腹腔镜组的观察指标均明显优于开腹组，两组的手术时间分别为（56±12）min和（92±11）min，首次排气时间为（21±10）h和（46±16）h，首次排便时间为（38±15）h和（72±18）h，腹腔镜组术后无切口感染，而开腹组术后切口感染发生率为14.3%，腹腔镜组术后住院时间为（4±1）d，开腹组为（9±3）d。结论：慢性阑尾炎合并慢性胆囊炎的腹腔镜治疗手术时间短、术后胃肠道功能恢复快、并发症少，效果明显优于传统开腹手术方法。
目的：探討慢性闌尾炎閤併慢性膽囊炎的手術治療方法。方法：迴顧分析74例慢性闌尾炎閤併慢性膽囊炎患者資料，分為腹腔鏡手術組（腹腔鏡組）39例，開腹手術組（開腹組）35例，觀察兩組的臨床療效，包括手術時間、首次排氣時間、首次排便時間、術後併髮癥的髮生率以及術後住院時間。結果：腹腔鏡組的觀察指標均明顯優于開腹組，兩組的手術時間分彆為（56±12）min和（92±11）min，首次排氣時間為（21±10）h和（46±16）h，首次排便時間為（38±15）h和（72±18）h，腹腔鏡組術後無切口感染，而開腹組術後切口感染髮生率為14.3%，腹腔鏡組術後住院時間為（4±1）d，開腹組為（9±3）d。結論：慢性闌尾炎閤併慢性膽囊炎的腹腔鏡治療手術時間短、術後胃腸道功能恢複快、併髮癥少，效果明顯優于傳統開腹手術方法。
목적：탐토만성란미염합병만성담낭염적수술치료방법。방법：회고분석74례만성란미염합병만성담낭염환자자료，분위복강경수술조（복강경조）39례，개복수술조（개복조）35례，관찰량조적림상료효，포괄수술시간、수차배기시간、수차배편시간、술후병발증적발생솔이급술후주원시간。결과：복강경조적관찰지표균명현우우개복조，량조적수술시간분별위（56±12）min화（92±11）min，수차배기시간위（21±10）h화（46±16）h，수차배편시간위（38±15）h화（72±18）h，복강경조술후무절구감염，이개복조술후절구감염발생솔위14.3%，복강경조술후주원시간위（4±1）d，개복조위（9±3）d。결론：만성란미염합병만성담낭염적복강경치료수술시간단、술후위장도공능회복쾌、병발증소，효과명현우우전통개복수술방법。
Objective To discuss the operative treatment in the chronic appendicitis combined with chronic cholecystitis. Methods Seventy-four patients were divided into two groups, 39 were treated by laparoscopy surgery, and 35 treated by laparotomy. The clinical results were compared of operation time, the first exhaustion time, the time of first defecation,the incidence of postoperative complications and hospitalization time after opera?tion. Results The observation indexes of laparoscopic group were obviously superior to those of laparotomy group,The operation time lasting in the two groups was(56±12)minutes and(92±11)minutes alternatively, the first exhaustion time was (21 ± 10) hours and (46 ± 16)hours alternatively, the time of first defecation was(38 ± 15) hours and (72 ± 18) hours alternatively, laparoscopic group had no incision infected,while the incidence of postoperative incision infection of laparotomy group was 14.3%.The hospitalization days after operation were(4± 1)days and(9±3)days in the two groups alternatively. Conclusion The advantages of the laparoscopic opera?tion in the treatment of chronic appendicitis complicated with chronic cholecystitis include shorter in operation and hospitalization time, more quickly recovery of gastrointestinal function and less complications than those in laparotomy.
