| 王高生,陈秋星,俞欣,甘磊磊.腹腔镜治疗急性穿孔性阑尾炎的价值评估[J].中国临床保健杂志,2020,23(1):124-126. |
| 腹腔镜治疗急性穿孔性阑尾炎的价值评估 |
| The clinical value of laparoscopy in treatment of acute perforated appendicitis |
| 投稿时间：2018-06-23 |
| DOI：10.3969/J.issn.1672-6790.2020.01.028 |
| 中文关键词: 阑尾炎 阑尾切除术 腹腔镜检查 预后 围手术期医护 |
| 英文关键词: Appendicitis Appendectomy Laparoscopy Prognosis Perioperative care |
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| 中文摘要: |
| 目的 对比分析开腹阑尾切除与腹腔镜下阑尾切除手术方式的疗效,评估腹腔镜下阑尾切除术的临床应用价值。方法 根据手术方式将患者分为开腹手术(OA)组与腹腔镜手术(LA)组,分析两组手术方式术中术后的各项指标,利用统计学方法研究两者的差异。结果 两组患者均无围手术期死亡病例,无肠漏、术后出血等严重并发症。与OA组比较,LA组的手术时间、肠道功能恢复时间、术后腹痛持续时间及住院时间较短,术中出血量、切口感染率减少明显,差异均有统计学意义(P<0.05),而两组术后腹腔脓肿发生率比较差异无统计学意义(P>0.05)。结论 腹腔镜下阑尾切除术治疗急性穿孔性阑尾炎较传统开腹手术方式具有临床优势。 |
| 英文摘要: |
| Objective To evaluate the clinical significance of Laparoscopic appendectomy in the treatment of perforated acute appendicitis.Methods According to the different ways of operation,we divided all patients into 2 groups:the Open Appendectomy (OA) group and the Laparoscopic appendectomy(LA) group.We analyzed the differents of all the indexes betweeen the two groups.Results No death or fecal leakage and Postoperative bleeding occurred in two groups.The operative time,intestinal function recovery time,postoperative abdominal pain time and hospital stay were significantly shorter in LA group than those in OA group(P＜0.05).Compared with the OA group,the incision infection rate and the intraoperative blood loss were significantly lower in LA group(P＜0.05).No difference was found in the incidence ofintra-abdominal abscess between the two groups(P＞0.05).Conclusions LA is superior to OA in the treatment of perforated acute appendicitis. |
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