腹腔镜与开腹手术治疗急性阑尾炎的临床分析
D O I:10.16662/https://www.360docs.net/doc/d18745408.html,ki.l674-0742.2017.05.065
临床医学 -------------
2017 NO.5
China &Foreign Medical Treatment
中外医疗
腹腔镜与开腹手术治疗急性阑尾炎的临床分析
林振龙
福建省漳州市中医院外科，福建漳州
363000
[摘要]
目的分析和对比腹腔鏡与开腹手术治疗急性阑尾炎的临床疗效。方法方便选择
2015年2月一2016年3月
在该院接受治疗的急性阑尾炎患者90例为研究对象。按照手术方式将90例患者分为实验组(腹腔镜手术冤与常规组 (开腹手术冤。对比两组患者的手术治疗效果。结果实验组患者的治疗总有效率(93.33%)显著髙于常规组的治疗总 有效率(73.33%)，差异有统计学意义(P <0.05);实验组患者的术中出血量(6.54±2.01)m L 、住院时间（4.25±0.27)d 、手术 感染发生率(0.00%)、并发症发生率(0.00%)均显著优于常规组，差异有统计学意义(P <0.05)。结论腹腔镜手术治疗
急性阑尾炎相对于开腹手术而言有着更加显著的临床疗效，是一种髙效、安全的治疗方式，值得临床推广。
[关键词]腹腔镜手术；急性阑尾炎；临床疗效[中图分类号]R615 [文献标识码]A
[文章编号]1674-0742(2017)02(b )-0065-03
Clinical Analysis of Laparoscope and Open Surgery in Treatment of Acute Appendicitis
LIN Zhen-long
Departm ent of G eneral Surgery, Zhangzhou Hospital of Traditional Chinese M edicine, Zhangzhou, Fujian Province, 363000 China
[Abstract] Objective To analyze and com pare the clinical curative effect of Laparoscope and open surgery in treatm ent of acute appendicitis. Methods 90 cases of patients with acute appendicitis treated in our hospital from February 2015 to March 2016 were convenient selected as the research objects and divided into two groups according to the different opera-tion m ethods, the experim ental group adopted the Laparoscopic surgery, while the routine group adopted the open surgery, and the operation treatm ent effect of the two groups was compared. Results The total treatm ent effective rate in the experi-m ental group was obviously higher than that in the routine group(93.33% vs 73.33%), and the difference had statistical sig- n ificance(P <0.05), and the intraoperative bleeding am ount, length of stay, incidence rate of operation infection and inci-dence rate of com plications in the experim ental group were respectively(6.54±2.01)m L ，(4.25±0.27)d ，0.00% and 0.00%, which were obviously better than those in the routine group, and the differences had statistical significance (P <0.05). Conclusion The clinical curative effect of Laparoscopic surgery in treatm ent of acute appendicitis is more obvious, which is an effective and safety treatm ent way, which is worth clinical promotion.
[Key words] Laparoscopic surgery; Acute appendicitis; Clinical curative effect
急性阑尾炎是外科当中较为常见的急性疾病之 一，具备较高的多发性，对患者的健康及生命有这样较 高的威胁[1]。相关研究显示'急性阑尾炎的发病率自我 国一直呈现上升趋势，其患者人数约为10%。急性阑尾 炎发病之后几个小时内便会出现典型的右下腹部疼痛 并伴有压痛以及反跳痛等症状，在临床当中的诊断率 比较高，一旦确诊应当尽快接受手术治疗。一直以来我 国都是采用传统的开腹阑尾手术方式进行治疗[3]。近些 年，伴随着腹腔镜技术的不断完善与发展，腹腔镜手术
[作者简介]林振龙（1975.3-)，男，福建东山人，本科，主治医
师，主要从事普外胃肠科工作。
在临床医疗当中的可用范围越来越广，其中也包含急 性阑尾炎'对此，为了提升急性阑尾炎患者的临床疗 效，以2015年2月一2016年3月该院急性阑尾炎90例 患者为例，分析腹腔镜与开腹手术治疗急性阑尾炎的临 床疗效，现报道如下。1资料与方法1.1 一般资料
方便选择在该院接受治疗的急性阑尾炎患者90 例为研究对象。所有患者均符合《急性阑尾炎诊治指 南》的疾病相关标准，并且无任何影响急性阑尾炎手术 治疗或腹腔镜实施的疾病或过敏症状。90例患者均发
China &Foreign Medical Treatment 中外医疗
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