腹腔镜手术在阑尾炎治疗中效果分析.docVIP

腹腔镜手术在阑尾炎治疗中效果分析 　　[摘要] 目的 评估腹腔镜阑尾切除术在阑尾炎治疗中的效果。 方法 将2012年6月～2013年11月本院收治的106例阑尾炎患者随机分为腹腔镜组和开腹组各53例，分别行腹腔镜阑尾切除术及开腹阑尾切除术，评估两组的治疗效果。 结果 两组手术成功率均为100%，两组手术时间差异无统计学意义（P0.05），腹腔镜组术后下床时间、术后肠功能恢复时间及住院时间均显著短于开腹组（P0.05），切口感染发生率、术后疼痛发生率均显著低于开腹组（P0.05），术后未发生腹腔感染、肠梗阻等其他并发症。 结论 腹腔镜阑尾切除术治疗阑尾炎疗效确切，具有微创、恢复快、并发症少、住院时间短等优点，是一种较为安全且高效的术式。 　　[关键词] 腹腔镜；阑尾炎；临床疗效 　　[中图分类号] R656.8[文献标识码] B[文章编号] 1674-4721（2014）06（b）-0170-03 　　 　　Clinical effect of laparoscopic appendectomy in appendicitis 　　LIU Yu-qiang 　　Maternal and Child Care Service Centre of Wuhua County in Meizhou City in Guangdong Province,Wuhua 514021,China 　　[Abstract] Objective To evaluate the clinical effect of laparoscopic appendectomy in appendicitis. Methods 106 cases of patients with appendicitis from June 2012 to November 2013 were divided into laparoscopic group and open procedures group with 53 cases in each group,were accepted laparoscopic appendectomy and open procedures appendectomy respectively.Clinical effect was evaluated. Results The operation success rate was 100% in two groups.There was no significant difference about the operation time between two groups (P0.05).The time of get out of bed,time of resuming intestinal mobility and postoperative hospital stay in laparoscopic group was shorter than that of open procedures group respectively (P0.05).The incidence of wound infection and postoperative pain was lower than that of open procedures group respectively (P0.05).There were no complications,such as abdominal cavity infection and intestinal obstruction. Conclusion Laparoscopic appendectomy for appendicitis is effective,with advantages of minimal invasive,rapid recovery,less complications and postoperative hospital stay,is a safe and more effective operation. 　　[Key words] Laparoscope;Appendicitis;Clinical effect 　　急性阑尾炎是普外科最常见的急腹症，为常见病和多发病，主要表现为转移性右下腹部疼痛。手术是阑尾炎的常规治疗手段[1-3]。传统的手术方式为开腹阑尾切除手术，但其存在创伤大、术后恢复慢、并发症发生率高等问题，限制了其广泛应用。随着腹腔镜技术的日益成熟，腹腔镜阑尾切除术已得到广大医师的广泛认可，较开腹阑尾切除术优势明显，具有微创、恢复快、并发症少等特点，目前已成为临床上治疗阑尾炎的主