中国基层医药
中國基層醫藥
중국기층의약
Chinese Journal of Primary Medicine and Pharmacy
2015年
18期
2727-2728,2729
,共3页
郭志芳%王江平%耿华雄%刘瑞红
郭誌芳%王江平%耿華雄%劉瑞紅
곽지방%왕강평%경화웅%류서홍
阑尾炎%肠穿孔%腹腔镜检查%外科手术
闌尾炎%腸穿孔%腹腔鏡檢查%外科手術
란미염%장천공%복강경검사%외과수술
Appendicitis%Intestinal perforation%Laparoscopy%Surgical procedures,Operative
目的：比较腹腔镜与开腹阑尾切除术治疗穿孔性阑尾炎的临床效果。方法选择107例穿孔性阑尾炎患者进行研究，按照随机数字表法分为两组。观察组54例行腹腔镜阑尾切除术，对照组53例行传统开腹阑尾切除术。比较两组切口大小、术中出血量、手术时间、住院时间等围手术期指标及并发症发生率。结果两组手术时间差异无统计学意义（t ＝1．286，P ＞0．05），观察组切口大小（2．5±0．3）cm、术中出血量（10．3±3．4）mL、住院时间（5．4±0．9）d，均优于对照组的（4．2±0．4）cm、（19．4±4．2）mL 和（6．5±1．1）d，差异均有统计学意义（t ＝24．901、12．329、5．666，均 P ＜0．05）。观察组并发症发生率为3．4％，低于对照组的15．1％，差异有统计学意义（χ2＝3．940，P ＜0．05）。结论腹腔镜阑尾切除术具有创伤小、恢复快、并发症少、住院时间短等优点，效果优于开腹阑尾切除术，值得推广应用。
目的：比較腹腔鏡與開腹闌尾切除術治療穿孔性闌尾炎的臨床效果。方法選擇107例穿孔性闌尾炎患者進行研究，按照隨機數字錶法分為兩組。觀察組54例行腹腔鏡闌尾切除術，對照組53例行傳統開腹闌尾切除術。比較兩組切口大小、術中齣血量、手術時間、住院時間等圍手術期指標及併髮癥髮生率。結果兩組手術時間差異無統計學意義（t ＝1．286，P ＞0．05），觀察組切口大小（2．5±0．3）cm、術中齣血量（10．3±3．4）mL、住院時間（5．4±0．9）d，均優于對照組的（4．2±0．4）cm、（19．4±4．2）mL 和（6．5±1．1）d，差異均有統計學意義（t ＝24．901、12．329、5．666，均 P ＜0．05）。觀察組併髮癥髮生率為3．4％，低于對照組的15．1％，差異有統計學意義（χ2＝3．940，P ＜0．05）。結論腹腔鏡闌尾切除術具有創傷小、恢複快、併髮癥少、住院時間短等優點，效果優于開腹闌尾切除術，值得推廣應用。
목적：비교복강경여개복란미절제술치료천공성란미염적림상효과。방법선택107례천공성란미염환자진행연구，안조수궤수자표법분위량조。관찰조54례행복강경란미절제술，대조조53례행전통개복란미절제술。비교량조절구대소、술중출혈량、수술시간、주원시간등위수술기지표급병발증발생솔。결과량조수술시간차이무통계학의의（t ＝1．286，P ＞0．05），관찰조절구대소（2．5±0．3）cm、술중출혈량（10．3±3．4）mL、주원시간（5．4±0．9）d，균우우대조조적（4．2±0．4）cm、（19．4±4．2）mL 화（6．5±1．1）d，차이균유통계학의의（t ＝24．901、12．329、5．666，균 P ＜0．05）。관찰조병발증발생솔위3．4％，저우대조조적15．1％，차이유통계학의의（χ2＝3．940，P ＜0．05）。결론복강경란미절제술구유창상소、회복쾌、병발증소、주원시간단등우점，효과우우개복란미절제술，치득추엄응용。
Objective To compare the clinical effect of laparoscopic and open appendectomy in the treat-ment of perforated appendicitis.Methods 107 patients with perforated appendicitis were selected as the research object and were divided into two groups.The observation group(54cases)received laparoscopic appendectomy while the control group (53cases)received traditional open appendectomy.The size of incision,the amount of bleeding during operation,time of operation and hospitalization and other perioperative indexes and the incidence rate of complications were compared between the two groups.Results The operation time between the two groups had no statistical significance(t =1.286,P >0.05 ).The incision size [(2.5 ±0.3)cm],the amount of intraoperative bleeding[(10.3 ±3.4)mL]and hospitalization time[(5.4 ±0.9)d]of the observation group were better than those of (4.2 ±0.4)cm,(19.4 ±4.2)mL and (6.5 ±1.1 )d in the control group,the differences were statistically significant(t =24.901,12.329,5.666,all P <0.05).The occurrence rate of complications of the observation group was 3.4%,which was lower than 15.1% of the control group,the difference was statistically significant(χ2 =3.940, P <0.05 ).Conclusion Laparoscopic appendectomy has the advantages of less trauma,faster recovery,less complications,shorter hospitalization time,etc.And its effect is better than open appendectomy and worthy of populari-zation and application.
