腹腔镜探查在急腹症手术中的应用.docVIP

精品论文 参考文献 腹腔镜探查在急腹症手术中的应用 毛明新 钟毓杰 黄勇平 高峰 彭海峰 （深圳市龙岗区人民医院普外科 广东深圳 518172） 【摘要】目的 观察腹腔镜探查在急腹症手术中的应用效果。方法 选择我院2011年4月—2013年2月接受的急腹症患者120例，随机分为传统手术组与腹腔镜组各60例，传统手术组采用开腹手术治疗，腔镜组采用腹腔镜探查手术治疗。对比两组术中出血量、手术时间、住院时间、首次入厕时间、首次进食时间，对比两组患者术后并发症发生率。结果 两组术中出血量、手术时间、住院时间、首次入厕时间、首次进食时间对比均Plt;0.05；腹腔镜组术后并发症发生率为3.33%，传统手术组为18.33%，两组术后并发症发生率对比X2=6.99,Plt;0.05，具有统计学意义。结论 腹腔镜探查手术可明显减少急腹症术中出血量，缩短手术时间、住院时间及胃肠功能恢复时间，在临床急腹症手术治疗中具有重要价值。 【关键词】腹腔镜 探查手术 急腹症 运用价值 【中图分类号】R656.1 【文献标识码】A 【文章编号】2095-1752（2013）18-0109-02 Application of laparoscopy in the acute abdomen surgery Mao Ming-xing, Department of General Surgery, The Peoples Hospital Of Longgang, Guangdong Province，shenzhen 518172，China. 【Abstract】 Objective The observed effect of laparoscopic exploration in acute abdomen surgery. Methods Choose our hospital accepted in February 2013, April 2011, 120 cases of patients with acute abdomen traditional surgery were randomly divided into traditional surgery group and the laparoscopic group, 60 cases in each group were treated with open surgery, laparoscopic laparoscopy groupexploratory surgery. Compared two groups of blood loss, operative time, hospital stay, time to go to the toilet for the first time, feeding time for the first time, compared two groups of patients with postoperative morbidity. Results Two sets of blood loss, operative time, hospital stay, for the first time going to the toilet, eating for the first time vs. both P lt;0.05; the laparoscopic group complication rate was 3.33%, 18.33% in the conventional surgery group, both groupsThe complication rate after contrast X2 = 6.99, P lt;0.05, statistically significant. Conclusion Laparoscopic surgery can significantly reduce the acute abdomen blood loss, shorter operative time, hospital stay and gastrointestinal function recovery time, is of great value in the treatment of of clinical acute abdomen surgery. 【Key words】Laparoscopy exploratory surgery acute abdomen Us