摘要
目的探讨腹腔镜手术治疗急性阑尾炎并发肠梗阻的临床效果。方法将2018年1月至2019年6月来我院治疗的76例急性阑尾炎并发肠梗阻患者随机分为观察组与对照组,每组38例,分别通过腹腔镜手术和开腹手术对患者治疗,对手术治疗效果进行比较。结果(1)观察组术后排气时间、进食时间、下床活动时间、住院时间均比对照组短(P<0.05)。(2)观察组并发症发生率为5.26%(2/38),低于对照组的26.32%(10/38)(P<0.05)。(3)观察组视觉模拟疼痛评分(VAS)评分低于对照组(P<0.05)。结论通过腹腔镜手术方案对急性阑尾炎并发肠梗阻进行治疗效果较好,可降低并发症发生率,具有推广使用价值。
Objective To explore the clinical effect of laparoscopic surgery in the treatment of acute appendicitis complicated with intestinal obstruction.Methods All 76 patients with acute appendicitis and intestinal obstruction who came to our hospital for treatment from January 2018 to June 2019 were randomly divided into observation group and control group,with 38 cases in each group.The patients were treated by laparoscopic surgery and open surgery.Compare the effect of surgical treatment.Results(1)Postoperative exhaust time,eating time,time to get out of bed,and hospital stay in the observation group were shorter than those in the control group(P<0.05).(2)The complication rate in the observation group was 5.26%(2/38),which was lower than 26.32%(10/38)in the control group(P<0.05).(3)The Visual Analogue Scale(VAS)score of the observation group was lower than the control group(P<0.05).Conclusion Laparoscopic surgery is effective in treating acute appendicitis complicated by intestinal obstruction,can reduce the incidence of complications,and is of value for promotion.
作者
陈镜宇
CHEN Jingyu(North War Zone General Hospital Shenyang,Shenyang 110016,China)
出处
《中国医药指南》
2021年第32期85-86,共2页
Guide of China Medicine
关键词
急性阑尾炎
肠梗阻
腹腔镜手术
开腹手术
临床效果
Acute appendicitis
Intestinal obstruction
Laparoscopic surgery
Open surgery
Clinical effect
