摘要
目的:对比常规腹腔镜阑尾切除术(laparoscopic appendectomy,LA)与改良LA的临床效果。方法:回顾分析76例急性阑尾炎患者的临床资料,将患者分为常规组及改良组,对比分析两组患者术中、术后情况。结果:两组均顺利完成手术,手术时间、术中出血率及术后镇痛剂使用率方面两组差异有统计学意义(P<0.05);术后活动时间、术后肛门排气时间、进食流质时间、住院时间差异均无统计学意义(P>0.05)。结论:改良LA具有手术时间短、出血等并发症少、更加安全的优点,具有很好的临床应用价值。
Objective：To compare the clinical significance and efficacy of classic laparoscopic appendectomy and the modified laparoscopic appendectomy. Methods ： In this study, the clinical data of 76 patients with acute appendicitis were retrospectively ana- lyzed. The patients were divided into 2 groups：conventional group and the modified group. The intraoperative situation and postoperative recovery of two groups were compared and analyzed. Results ： All operations were successful. The operative time （ 35.2 ＋ 15.5 ） min and blood loss rate （2.6%） of modified group were significantly less than those of the conventional group [ （48.1 _＋ 20.6） min and 7.9% ] （ P 〈 0.05 ）. ~The postoperative usage of analgesic was significantly different between the 2 groups （ P 〈 0.05 ）. There was no significant difference in postoperative ambulation time, anal exhaust time,intaking liquid diet time and hospital stay （ P 〉 0.05 ）. Con- clusions ：The modified laparoscopic appendectomy has advantages of shorter operation time, less bleeding and other complications, more safety and so on,thus modified laparoscopic appendectomy has good clinical application value.
出处
《腹腔镜外科杂志》
2013年第8期631-633,共3页
Journal of Laparoscopic Surgery
