老年阑尾炎患者行腹腔镜阑尾切除术治疗的效果分析.docVIP

老年阑尾炎患者行腹腔镜阑尾切除术治疗的效果分析 　　[摘要] 目的 探讨老年阑尾炎患者行腹腔镜阑尾切除术的疗效分析。 方法 随机选取80例老年阑尾炎患者作为研究对象，并将其随机分为对照组和观察组，每组40例。对照组患者进行开腹手术，观察组则进行腹腔镜手术。对比分析两组患者手术时间、术中出血量、住院天数及切口感染率等。 结果 观察组手术时间为（53.61±10.33）min，术中出血量为（9.11±1.45）mL，住院时间为（5.50±0.50）d，切口感染率为7.50%，对照组相应值（55.12±11.23）min、（27.18±2.87）mL、（10.64±0.50）d、27.50%，观察组术中出血量、住院天数均少于对照组，切口感染率也低于对照组，且差异有统计学意义（P0.05）。 结论 使用腹腔镜阑尾切除术治疗老年阑尾炎患者效果显著，值得临床广泛应用。 　　[关键词] 老年阑尾炎；腹腔镜阑尾切除术；治疗 　　[中图分类号] R59 [文献标识码] A [文章编号] 1674-0742（2015）05（b）-0028-02 　　Curative Effect Analysis of Laparoscopic Appendectomy for Elderly Patients with Appendicitis 　　ZHANG Wei 　　Department of General Surgery， Peoples Hospital of Gejiu City， Gejiu， Yunnan Province，66100 China 　　[Abstract] Objective To discuss the curative effect of laparoscopic appendectomy for elderly patients with appendicitis. Methods 80 elderly patients with appendicitis were selected as the research subjects and randomly divided into control group and observation group with 40 cases in each. Open surgery was performed in the control group， while laparoscopic surgery was conducted in the observation group. Operation time， intraoperative blood loss ，hospitalization and wound infection rate were compared the two groups. Results Operation time， intraoperative blood loss， hospitalization and wound infection rate of the observation group were （53.61±10.33）min，（9.11±1.45）mL，（5.50±0.50）d and 7.50%，respectively，while those of the control group were （55.12±11.23）min、（27.18±2.87）mL、（10.64±0.50）d、27.50%，respectively， and the differences were of statistically significant（P0.05）. Conclusion With remarkable effect in treating elderly patients with appendicitis， Laparoscopic appendectomy deserves widespread application in clinical practice. 　　[Key words] Elderly patients with appendicitis； Laparoscopic appendectomy； Treatment 　　我国已步入老龄化时代，老年群体呈逐年上升趋势。老年人由于身体机能正在逐步衰退，所以身体各种疾病发生率也较高，阑尾炎就是其中之一。老年患者由于身体同时存在其他疾病，阑尾炎穿孔率相对较高，且炎症不易控制。加上老年人反应较弱，临床表现不如常人明显，极易引发弥漫性腹膜炎，所以在治疗上存在困难[1]。以往治疗老年阑尾炎患者多采用开腹切除手术，但该手术所造成创伤大，老年