复杂性阑尾炎术式的抉择腹腔镜术抑或开腹手术临床医学.docVIP

复杂性阑尾炎术式的抉择腹腔镜术抑或开腹手术临床医学 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：复杂性阑尾炎术式的抉择腹腔镜术抑或开腹手术临床医学 1 1 资料与方法 3 2 结 果 4 3 讨 论 4 文2：基于复杂范式的学前课程抉择 7 一、埃德加·莫兰“复杂范式”的核心思想 7 （一）多样统一 7 （二）有序无序的相互作用 8 （三）自主、开放的系统 9 二、基于“复杂范式”的学前课程抉择 9 （一）课程的本质是复杂的、多元限定的 10 （二）各种课程方案是一个复杂、自主、开放的系统 11 （三）价值取向是课程抉择的核心 12 （四）课程设计与实施要考虑无序性、不确定性，善于运用策略 13 参考文摘引言： 14 原创性声明（模板） 15 文章致谢（模板） 15 正文 复杂性阑尾炎术式的抉择腹腔镜术抑或开腹手术临床医学 文1：复杂性阑尾炎术式的抉择腹腔镜术抑或开腹手术临床医学 【Abstract】 Ｏbjective:To investigate the feasibility of laparoscopic appendectomy(LA) for complicated appendicitis by comparing the clinical outcomes of laparoscopic and open :The clinical data of 213 cases with complicated appendecitis underwent operatio was analyzed underwent LA and 85 underwent open appendectomy(OA).Operative time,intraoperative blood loss,length of incision,drainage,postoperative pain in visual analogue scale (VAS),resumption to diet,infectious complicatio (,wound infection,intraabdominal abscess),length of hospitalization and cost were :Compared with that of OA group the operative time of LA group was significanty longer and total cost was significanty higher,but OA group had more intraoperative blood loss,longer incision,more frequent drainage,higher postoperative VAS,later resumption to diet and longer hospitalization compared with LA of wound infetion in LA group was lower,while significant difference can t be found when the rate of postoperative intraabdominal abscess was compared between two mortality was observed in both :Laparoscopic appendectomy for complicated appendicitis is feasible,safe and has significant advantages over open appendectomy with less trauma,less postoperative pain,faster resumption to diet,lower incidence of wound infection and shorter hospitalization. 【Key words】 Complicated appendicitis;Laparoscopy;Appendectomy;Open Surgery 腹腔镜在治疗急性阑尾炎，特别是复杂性阑尾炎（即坏疽性、穿孔性阑尾炎及阑尾周围脓肿）中的地位仍无定论［1］。我们回顾分析了腹腔镜与开腹手术在复杂性阑尾炎手术中的应用，探讨了腹腔镜阑尾切除术治疗复杂性阑尾炎的可行性。 1 资料与方法 临床资料 搜集2003年1月至200