腹腔镜治疗阑尾炎术后慢性腹痛的应用意义探析.docVIP

精品论文 参考文献 腹腔镜治疗阑尾炎术后慢性腹痛的应用意义探析 湖南省衡东县人民医院 湖南衡阳 421400 【摘 要】目的：研究腹腔镜治疗阑尾炎术后慢性腹痛的应用意义。方法：研究资料来源于我院2014年1月—2016年1月期间收治阑尾炎术后慢性腹痛患者65例，根据随机数字表法，分为2组，腹腔镜探查组和开腹探查组。开腹探查组给予开腹探查术；腹腔镜探查组给予腹腔镜探查术。就两组患者手术时间、术中平均出血量、疼痛缓解时间、住院时间和术后慢性腹痛率进行比较。结果：腹腔镜探查组术后慢性腹痛率低于开腹探查组，P＜0.05。腹腔镜探查组患者手术时间、术中平均出血量、疼痛缓解时间、住院时间均少于开腹探查组，P＜0.05。结论：腹腔镜治疗阑尾炎术后慢性腹痛的应用效果确切，腹腔镜下探查有清晰视野，对患者创伤小，可减少出血，提高诊治效果，缓解疼痛。 【关键词】腹腔镜;阑尾炎;术后慢性腹痛;应用意义 【 abstract 】 objective： to study the application of laparoscopic treatment of chronic abdominal pain after appendicitis.Methods： the data from our hospital in January 2014 - January 2016 appendicitis，65 cases of patients with chronic abdominal pain，postoperative according to random number table method，divided into 2 groups，laparoscopic exploration probe and laparotomy group.Open to probe group was given laparotomy exploration; Laparoscopic exploration group was given laparoscopic surgical exploration.Two groups of patients had operation time，intraoperative blood loss，pain relief time，length of hospital stay and postoperative chronic abdominal pain rate comparison.Results： laparoscopic exploration probe postoperative chronic abdominal pain rate lower than laparotomy group，P lt; 0.05.Patients with laparoscopic exploration group operation time，intraoperative blood loss，pain relief time，length of hospital stay were less than laparotomy exploration group，P lt; 0.05）.Conclusion： laparoscopic treatment appendicitis exact，the application effect of chronic abdominal pain after laparoscopic exploration has a clear vision for patients with trauma is small，can reduce bleeding，improve the effect of diagnosis and treatment，pain relief. 【 key words 】 laparoscopic; Appendicitis.Postoperative chronic abdominal pain; Application significance 阑尾炎为普外科常见多发疾病，临床多行手术治疗，但术后仍有部分患者可存在慢性腹痛，需行手术探查和治疗，以改善或消除症状，提升患者生存质量[1]。本研究探讨了腹腔镜治疗阑尾炎术后慢性腹痛的应用意义，报道如下： 1 资料与方法 1.1 一般资料 研究资料来源于我院2014年1月—2016年1月期间收治阑尾炎术后慢性腹痛患者65例，根据随机数字表法，分为2组，腹腔镜探查组和开