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目的比较腹腔镜手术和开腹手术治疗急性阑尾炎周围脓肿的临床疗效。方法将120例急性阑尾炎周围脓肿患者随机分为观察组、对照组,每组60例。两组患者均给予全麻,采用头低足高位。观察组采用腹腔镜手术治疗,对照组采用传统开腹治疗。两组均于术后给予抗生素对症治疗5 d。观察两组手术持续时间、引流时间、切口长度、术后卧床时间、术后镇痛剂使用情况、肛门排气时间以及残端出血、切口感染、肠梗阻等并发症发生情况。结果两组患者均顺利完成手术,手术成功率达100.00%。下床时间、住院时间、术后镇痛药使用率、治疗总费用、肛门排气时间、体温恢复正常时间、白细胞恢复正常时间、并发症发生情况等术后相关指标两组相比差异有统计学意义(P﹤0.05)。结论与开腹手术相比,腹腔镜手术治疗急性阑尾炎,具有创伤小、术后恢复快、术后并发症少等优势。
Objective To compare the clinical efficacy of laparoscopic surgery and laparotomy in the treatment of acute abscess of appendicitis. Methods 120 patients with acute abscess of appendicitis were randomly divided into observation group and control group, 60 cases in each group. Two groups of patients were given general anesthesia, head low high. The observation group was treated by laparoscopy and the control group by traditional laparotomy. Both groups were treated with antibiotics for 5 days postoperatively. The duration of operation, drainage time, incision length, postoperative bed rest time, postoperative analgesic use, anal exhaust time, stump bleed, incision infection and intestinal obstruction were observed. Results The two groups of patients were successfully completed surgery, the success rate of 100.00%. The time to bed, hospital stay, postoperative analgesic use rate, total cost of treatment, anal exhaust time, body temperature recovery time, normal white blood cell recovery time, complications and other relevant indicators after surgery compared the two groups statistically significant Significance (P <0.05). Conclusion Compared with open surgery, laparoscopic surgery for acute appendicitis has the advantages of less trauma, faster recovery and fewer postoperative complications.