腹腔镜在普外急腹症中应用效果观察.docVIP

腹腔镜在普外急腹症中应用效果观察 　　[摘要] 目的 研究腹腔镜在普外急腹症中的应用效果。 方法 选取2013年1月～2014年6月本院收治的28例急性胆囊炎患者，按照随机数表法将所有患者分为观察组（14例）和对照组（14例）。对照组采用剖腹探查的方法，观察组进行腹腔镜胆囊切除术。对比分析两组的手术时间、平均住院时间、术中出血量、排气时间以及术后并发症。 结果 两组手术时间比较差异无统计学意义（P0.05）；观察组术中出血量少于对照组，排气时间、平均住院时间短于对照组，并发症发生率低于对照组，差异均有统计学意义（P0.05）。 结论 腹腔镜应用于普外急腹症具有住院时间短、恢复快、出血量少、并发症少等优点，其效果良好，值得推广应用。 　　[关键词] 腹腔镜；普外；急腹症 　　[中图分类号] R616 [文献标识码] A [文章编号] 1674-4721（2015）01（b）-0043-03 　　Application effect observation of laparoscopic in acute abdomen of general surgery 　　FU Zong-guang CHEN Zhao-hui LIU Ming 　　Department of General Surgery，Hospital of Traditional Chinese Medicine of Wanan County in Jiangxi Province，Wanan 343800，China 　　[Abstract] Objective To research application effect of laparoscopic in acute abdomen of general surgery. Methods 28 patients with acute cholecystitis from January 2013 to June 2014 in our hospital were selected and divided into observation group（14 cases）and control group（14 cases）according to random number table method.Laparotomy method was used in control group，laparoscopic cholecystectomy method was applied in observation group.Surgical time，the average length of staying hospital，operative blood loss，discharge time and postoperative complication in two groups were compared and analyzed. Results Surgical time in two groups was compared，with no statistical difference（P0.05）.Operative blood loss in observation group was less than that in control group，discharge time and the average length of staying hospital in observation group was shorter than that in control group respectively，incidence rate of postoperative complication in observation group was lower than that in control group，with statistical difference（P0.05）. Conclusion Laparoscopy applied in acute abdomen of general surgery has the advantages of short hospitalization time，rapid recovery，less bleeding，less complications，etc.The effect is good，and is worthy of popularization and application 　　[Key words] Laparoscopy；General surgery；Acute abdomen 　　急腹症是由于急性腹痛的