腹腔镜在普外急腹症患者治疗中应用对比分析.docVIP

腹腔镜在普外急腹症患者治疗中应用对比分析 　　[摘要] 目的 对比分析急腹症病人使用腹腔镜治疗的临床效果。 方法 从该院就诊的急腹症病人中随机抽选80例，分成研究组和对照组各40例，研究组给予腹腔镜治疗，对照组做常规开腹手术治疗，对比分析两种治疗方法的临床效果。结果 研究组有效率为97.5%，明显高于对照组77.5%，P0.05；且研究组病人的手术时间、出血量、住院时间、并发症等方面明显优于对照组，差异有统计学意义（P0.05）。 结论 急腹症治疗中应用腹腔镜手术方法能够减轻病人痛苦，达到微创、无瘢痕及并发症少的优点，治疗效果显著增高、安全有效，值得临床研究推广应用。 　　[关键词] 腹腔镜；普外急腹症；开腹手术；应用对比 　　[中图分类号] R656 [文献标识码] A [文章编号] 1674-0742（2014）10（b）-0027-02 　　Comparative Analysis of the Application of Laparoscope in the Treatment of Acute Abdomen in General Surgery 　　WU Jian 　　First Department of General Surgery， Dengta Hospital in Anyang， Anyang， Henan Province， 455000， China 　　[Abstract] Objective To compare and analyze the clinical effect of laparoscope applied to the treatment of patients with acute abdomen. Methods 80 cases with acute abdomen admitted in our hospital were randomly selected and divided into the study group and the control group with 40 cases in each. The study group was given laparoscopic treatment， and the control group was given the conventional loaparotomy. And the clinical effects of the two treatment methods were compared and analyzed. Results The effective rate was 97.5% in the study group， significantly higher than 77.5% in the control group， P0.05； and the observation group was much better than the control group in the aspects of duration of operation， amount of blood loss， length of stay， and complications and so on， the difference was statistically significant （P0.05）. Conclusion For the treatment of acute abdomen， laparoscopic surgical method has higher treatment effect with fewer complications. It is safe and effective， minimally invasive， scar-free and can alleviate the suffering of the patients， so it is worthy of clinical research and application. 　　[Key words] Laparoscope； General surgery acute abdomen； Laparotomy； Application comparison 　　急腹症指腹腔、腹膜后及盆腔内的脏器组织产生急剧的病理变化，产生以腹部为主的全身反应的综合症状；常见的有溃疡穿孔、急性阑尾炎、腹外伤、胰腺炎、急性肠梗阻及腹膜炎症等。其原因多与感染炎症、腹腔出血、空腔脏器穿孔、梗阻等有关，起病较急、较快，发展迅速，表现为腹部不同部位、不同程度的绞痛或钝痛，严重影响病人的生命健康和生活质量。由于此类疾