急性阑尾炎应用腹腔镜和开腹切除术治疗的效果比较.docVIP

精品论文 参考文献 急性阑尾炎应用腹腔镜和开腹切除术治疗的效果比较 遂宁市安居区人民医院普外科 四川遂宁 629000 【摘要】目的: 探究急性阑尾炎应用腹腔镜和开腹切除术治疗的临床效果对比。方法: 选取2014年1月至2015年8月在我院治疗的急性阑尾炎患者138例，按照随机分组原则分为对照组和观察组分别69例，其中对照组患者采取传统的开腹切除治疗，观察组患者则采用腹腔镜下手术治疗，对比两组患者的手术情况以及术后并发症发生率。结果: 观察组患者的手术时间以及术中出血量、术后首次排气时间以及住院总时长均显著少于对照组，差异显著具有统计意义（P＜0.05），同时观察组患者的术后切口感染、肠梗阻以及腹腔脓肿等并发症发生率显著少于对照组，差异显著具有统计意义（P＜0.05）。结论: 在急性阑尾炎的临床治疗中采用腹腔镜进行手术能够显著减少手术时长、术中出血量，促进其术后病症恢复，同时降低其术后并发症发生率，值得在临床上推广应用。 【关键词】急性阑尾炎; 腹腔镜; 开腹切除术 Those children acute appendicitis laparoscopic resection and laparotomy treatment effect comparison 【Abstract】 Objective: to explore the infantile acute appendicitis application resection treatment the clinical effect of laparoscopy and laparotomy. Methods: selected 2014 January to August 2015 in our hospital, 138 cases of patients with children acute appendicitis treatment, in accordance with the principle of randomized divided into control group and observation group 69 cases respectively, the control group with traditional laparotomy radical treatment, the observation group had children by laparoscopic surgery treatment, compared two groups of patients with surgery and postoperative complications. Results: observation group with operative time and intraoperative blood loss, postoperative exhaust time, and for the first time in the hospital total duration were significantly less than the control group, significant difference statistically significant (P lt; 0.05), and at the same time observation group of patients with postoperative incision infection, intestinal obstruction and incidence of complications such as abdominal abscess was significantly less than the control group, significant difference statistically significant (P lt; 0.05). Conclusions: in the clinical treatment of children acute appendicitis laparoscopic surgery can significantly reduce the operation time, intraoperative blood loss, promote the recovery of disease, and reduce the incidence of postoperative complications, worthy of popularization and applic