免气腹与传统气腹腹腔镜在阑尾切除术中的临床效果研究.docVIP

免气腹与传统气腹腹腔镜在阑尾切除术中的临床效果研究 　　[摘要]目的 比较免气腹与传统气腹腹腔镜在阑尾切除术中的临床效果。方法 选取我院2012年3月～2016年7月收治的48例行阑尾切除术患者作为研究对象，随机分为对照组和观察组，各24例。对照组采用传统气腹腹腔镜阑尾切除术，观察组采用免气腹腹腔镜阑尾切除术。比较两组的手术操作时间、术中出血量、手术前后二氧化碳结合率以及术前准备时间、并发症发生率、术后住院时间、肠道恢复时间。结果 两组的手术操作时间、术中出血量及术前二氧化碳结合率比较，差异无统计学意义（P0.05）。观察组的术前准备时间显著长于对照组，术后二氧化碳结合率显著低于对照组，差异有统计学意义（P0.05）。观察组的肠道恢复时间显著短于对照组，差异有统计学意义（P0.01）。观察组术后的并发症发生率显著低于对照组，差异有统计学意义（P0.05）。结论 和传统气腹相比，免气腹腹腔镜阑尾切除术不但能降低对机体内环境的干扰，而且还能使心肺功能与酸碱平衡不受影响。 　　[关键词]免气腹腹腔镜；传统气腹腹腔镜；腹腔镜阑尾切除术；临床比较 　　[中图分类号] R656.8 [文献标识码] A [文章编号] 1674-4721（2016）10（b）-0026-03 　　[Abstract]Objective To compare the clinical effects of gasless and traditional pneumoperitoneum laparoscope in appendectomy.Methods 48 patients who conducted appendectomy from March 2012 to July 2016 in our hospital were selected and randomly divided into the control group and the observation group，and each group was 24 cases.The control group was given traditional pneumoperitoneum laparoscope appendectomy，the observation group was given gasless laparoscope appendectomy.The operation time，bleeding during operation，carbon dioxide binding rate before and after operation，preoperative preparation time，the incidence rate of complications，postoperative hospital stay and intestinal recovery time in the two groups were compared.Results There was no significant difference in the operation time，bleeding during operation，carbon dioxide binding rate before operation between the two groups （P0.05）.The preoperative preparation time in the observation group was longer than that in the control group，carbon dioxide binding rate after operation in the observation group was lower than that in the control group，with significant difference （P0.05）.The intestinal recovery time in the observation group was shorter than that in the control group，with significant difference （P0.01）.The incidence rate of complications in the observation group was lower than that in the control group，with significant difference （P0.05）.Conclusion Compared with traditiona