腹腔镜治疗急性阑尾炎临床分析.docVIP

腹腔镜治疗急性阑尾炎临床分析【摘要】 目的：评价腹腔镜下治疗急性阑尾炎的临床应用价值。方法：急性阑尾炎患者98例，按入院先后顺序，随机分为观察组和对照组，每组49例。观察组给予腹腔镜手术，对照组给予开腹手术，比较两组之间的临床疗效。结果：观察组肛门排气时间、住院时间短于对照组，止痛药使用率、切口感染率、综合治疗费用等均少于对照组，组间比较差异均有统计学意义(P0.05)。结论：腹腔镜治疗急性阑尾炎，具有创伤小、恢复快、感染率低、并发症少等优点，优于开腹手术，值得临床推广应用。 【关键词】 腹腔镜； 开腹； 治疗； 急性阑尾炎 Clinical Analysis of Laparoscopic in Treatment of Acute Appendicitis/LIU Cun-wei，HUANG Jin.//Medical Innovation of China，2012，9(14)：037-038 【Abstract】 Objective：To explore the clinical value of laparoscopic in treatment of acute appendicitis.Methods：According to admission order，98 patients with acute appendicitis were randomly divided into control group and observation group with 50 cases in each group.The observation group were treated with laparoscopic surgery，the control group was treated with open surgery.All clinical indicators were compared between two groups.Results：The time of flatus and inpatient in observation group is shorter than the that in control group，the rate of pain medication usage，wound infection and the comprehensive cost of treatment in the control group were all less than that in the observation group，the difference between the two groups was statistically significant(P0.05).Conclusion：Laparoscopic in treatment of acute appendicitis is superior to open surgery with less trauma，quicker recovery，lower infection rate，fewer complications.It is worthy of clinical application. 【Key words】 Laparoscopy； Laparotomy； Treatment； Acute appendicitis First-authors address：The Seventh Peoples Hospital in Chengdu，Chengdu 610041，China doi：10.3969/j.issn.1674-4985.2012.14.021 传统急性阑尾炎阑尾切除多采用开腹手术(0A)，但具创伤大、并发症多的缺点。随着腹腔镜技术的快速发展，腹腔镜切除阑尾(LA)以其创伤小、恢复快等优点得以广泛开展，目前已经成为一种成熟的手术方式[1]。2011年1-12月，笔者所在科对49例急性阑尾炎患者行腹腔镜下阑尾切除术，疗效满意，现报告如下。 1 资料与方法 1.1 一般资料 选择2011年1-12月笔者所在科收治的急性阑尾炎患者98例，男61例，女37例；平均年龄 (37±2.5)岁；平均病程 (2.5±0.9)h，阑尾炎类型：单纯性76例，化脓性19例，坏疽穿孔性3例。随机分为观察组与对照组，每组49例。两组一般资料比较差异均无统计学意义(P0.05)，具有可比性。 1.2 治疗方法 (1)观察组：用连续硬膜外麻醉或气管内麻醉，术前患者排尽小便。三孔法，人工气腹，在腹腔镜指引下探查腹腔，证实为阑尾炎后，行阑尾系膜电凝或结扎切断，阑