摘要
目的分析腹腔镜手术治疗急性阑尾炎的临床效果。方法110例急性阑尾炎患者,按入院顺序分为对照组与观察组,各55例。对照组应用常规开腹手术治疗,观察组采用腹腔镜手术治疗。对比两组手术相关指标(术中出血量、手术操作时间、术后首次下床时间、首次排气时间以及住院时间)及并发症发生率。结果观察组并发症发生率5.45%显著低于对照组的20.00%,差异有统计学意义(P<0.05)。观察组患者术中出血量(87.14±10.37)ml少于对照组的(128.35±21.26)ml,手术操作时间(31.04±5.37)min、术后首次下床时间(14.01±3.18)h、首次排气时间(23.06±5.03)h以及住院时间(4.87±1.45)d均短于对照组的(55.68±7.36)min、(29.58±5.37)h、(43.79±6.58)h、(9.66±3.27)d,差异有统计学意义(P<0.05)。结论对急性阑尾炎患者实施腹腔镜手术治疗,可缩短手术及住院时间,降低并发症发生率,加快患者术后身体康复,值得重视。
Objective To analyze the clinical effect of laparoscopic surgery in the treatment of acute appendicitis.Methods A total of 110 patients with acute appendicitis were divided into the control group and the observation group according to the order of admission,with 55 cases in each group.The control group was treated with conventional open surgery,and the observation group was treated with laparoscopic surgery.Both groups were compared for surgery related indicators(intraoperative blood loss,surgical operation time,first-time off-bed activity time,first exhaust time and hospitalization time),and the complication rates.Results The complication rate of the observation group was 5.45%,which was significantly lower than 20.00%of the control group,and the difference was statistically significant(P<0.05).The intraoperative blood loss(87.14±10.37)ml of the observation group was less than(128.35±21.26)ml of the control group,and the operation time(31.04±5.37)min,first-time off-bed activity time(14.01±3.18)h,first exhaust time(23.06±5.03)h and hospitalization time(4.87±1.45)d were shorter than(55.68±7.36)min,(29.58±5.37)h,(43.79±6.58)h,and(9.66±3.27)d of the control group.All the differences were statistically significant(P<0.05).Conclusion Laparoscopic surgery for patients with acute appendicitis can shorten the operation time and hospitalization time,lower the complication rates,and accelerate the recovery of patients after operation,which is worthy of attention.
作者
李连斌
LI Lian-bin(Liaoyang Third People’s Hospital,Liaoyang 111000,China)
出处
《中国现代药物应用》
2021年第24期53-55,共3页
Chinese Journal of Modern Drug Application
关键词
急性阑尾炎
腹腔镜手术
开腹手术
临床效果
Acute appendicitis
Laparoscopic surgery
Open surgery
Clinical effect
