中国实用医刊
中國實用醫刊
중국실용의간
Chinese Journal of Practical Medicine
2015年
22期
30-31
,共2页
复杂性阑尾炎%腹腔镜%阑尾切除术%并发症
複雜性闌尾炎%腹腔鏡%闌尾切除術%併髮癥
복잡성란미염%복강경%란미절제술%병발증
Complicated appendicitis%Laparoscopy%Appendectomy%Complication
目的：对比观察腹腔镜阑尾切除术与开腹阑尾切除术治疗复杂性阑尾炎的临床疗效。方法以入院治疗的复杂性阑尾炎患者90例作为研究对象，均行手术治疗，根据手术方式将患者分为腹腔镜组（48例）和开腹组（42例），记录手术时间、术中出血量、饮食恢复时间、切口长度以及住院时间，观察术后并发症发病率。结果观察组手术时间为（82.14±12.66） min，显著高于对照组；术中出血量、饮食恢复时间、切口长度以及住院时间分别为（32.28±12.00）ml、（24.26±11.26）h、（2.18±0.84）cm、（4.03±2.11）d，均显著低于对照组，差异有统计学意义（P＜0.05）。观察组切口感染和腹腔脓肿发生率分别为4.17％、4.17％，显著低于对照组的21.43％、16.67％，差异有统计学意义（ P＜0.05）。结论腹腔经阑尾切除术手术时间相对较长，但是术中可减少对腹腔组织的损伤，降低术后并发症发生率。
目的：對比觀察腹腔鏡闌尾切除術與開腹闌尾切除術治療複雜性闌尾炎的臨床療效。方法以入院治療的複雜性闌尾炎患者90例作為研究對象，均行手術治療，根據手術方式將患者分為腹腔鏡組（48例）和開腹組（42例），記錄手術時間、術中齣血量、飲食恢複時間、切口長度以及住院時間，觀察術後併髮癥髮病率。結果觀察組手術時間為（82.14±12.66） min，顯著高于對照組；術中齣血量、飲食恢複時間、切口長度以及住院時間分彆為（32.28±12.00）ml、（24.26±11.26）h、（2.18±0.84）cm、（4.03±2.11）d，均顯著低于對照組，差異有統計學意義（P＜0.05）。觀察組切口感染和腹腔膿腫髮生率分彆為4.17％、4.17％，顯著低于對照組的21.43％、16.67％，差異有統計學意義（ P＜0.05）。結論腹腔經闌尾切除術手術時間相對較長，但是術中可減少對腹腔組織的損傷，降低術後併髮癥髮生率。
목적：대비관찰복강경란미절제술여개복란미절제술치료복잡성란미염적림상료효。방법이입원치료적복잡성란미염환자90례작위연구대상，균행수술치료，근거수술방식장환자분위복강경조（48례）화개복조（42례），기록수술시간、술중출혈량、음식회복시간、절구장도이급주원시간，관찰술후병발증발병솔。결과관찰조수술시간위（82.14±12.66） min，현저고우대조조；술중출혈량、음식회복시간、절구장도이급주원시간분별위（32.28±12.00）ml、（24.26±11.26）h、（2.18±0.84）cm、（4.03±2.11）d，균현저저우대조조，차이유통계학의의（P＜0.05）。관찰조절구감염화복강농종발생솔분별위4.17％、4.17％，현저저우대조조적21.43％、16.67％，차이유통계학의의（ P＜0.05）。결론복강경란미절제술수술시간상대교장，단시술중가감소대복강조직적손상，강저술후병발증발생솔。
Objective To observe the clinical efficacy of laparoscopic appendectomy and open appendectomy on complicated appendicitis.Methods Ninety cases of complicated appendicitis were se-lected as study objects.They were divided into laparoscopic appendectomy group (48 cases) and open appendectomy group (42 cases) according to operation methods.The operative time, amount of bleeding during operation, diet recovery time, incision length and LOS were recorded, and the incidence of com-plications were observed.Results The operative time of the observation group was(82.14 ±12.66) min, which was obviously higher than that of the control group.In the observation group, the amount of bleeding during operation, diet recovery time.incision length and LOS were (32.28 ±12.00) ml, (24.26 ± 11.26)h, (2.18 ±0.84) cm, (4.03 ±2.11) d, which were obviously lower than those in control group, the differences were significant (P<0.05).Incidence of wound infection and abdominal abscess of the ob-servation group were 4.17%, 4.17%, which were obviously lower than those of the control group (21.43%、16.67%), the differences were significant (P<0.05).Conclusions The operative time of laparoscopic appendectomy is relatively long, but it can reduce the damage of peritoneal tissue and lower the complication rate after surgery.
