腹腔镜阑尾切除术治疗急性阑尾炎的疗效及安全性分析.docVIP

精品论文 参考文献 腹腔镜阑尾切除术治疗急性阑尾炎的疗效及安全性分析 杨长水1 张云华2 　　(1济南市历城区唐王镇卫生院 山东 济南 250106) 　　(2济南市第三人民医院 山东 济南 250132) 　　【摘要】目的：探讨急性阑尾炎患者实施腹腔镜阑尾切除术的临床疗效及治疗的安全性。方法：2014年1月 —2014年8月期间，80例急性阑尾炎患者，根据随机数字法，分为对照组和观察组，分别给予开腹胆囊切除术和腹腔镜胆囊切除术，对两组患者术中情况（手术时间、术中出血量）、术后恢复情况（下床时间、术后排气时间），以及术后并发症的发生率，进行观察和比较。结果：观察组较对照组术中出血量明显减少，P＜0.05，而手术时间较对照组没有明显延长，P＞0.05；观察组较对照组下床时间、术后排气时间均显著缩短，P＜0.05；观察组较对照组术后并发症发生率显著降低，P＜0.05。结论：腹腔镜阑尾切除术治疗急性阑尾炎，具有疗效显著、安全性高等特点，明显提高患者的预后质量及康复速度。 　　【关键词】 腹腔镜；阑尾炎切除术；疗效；安全性 　　【中图分类号】R656.8 【文献标识码】A 【文章编号】2095-1752（2015）03-0024-03 　　The efficacy and safety of laparoscopic appendectomy for acute appendicitis Yang Changshui, Zhang Yunhua, Jinan City town Tang Licheng District health centers in Shandong Jinan 250106; Shandong Jinan Third Peoples Hospital, Jinan 250132 　　【Abstract】Objective To study the clinical efficacy and treatment safety of laparoscopic appendectomy for patients with acute appendicitis.Methods The 80 cases of acute appendicitis in our hospital during the period from Jan 2014 to August 2014 were randomized into the control group (cholecystectomy) and the observation group (laparoscopic appendectomy). The operation condition (operation time, intraoperative bleeding volume), postoperative recovery condition (bed time, postoperative exhaust time), and the incidence of the postoperative complications in the two groups were observed and compared. Results Compared with the control group, the intraoperative bleeding volume was significantly reduced in the observation group (Plt;0.05) and the operation time was not increased in the observation group (Pgt;0.05); compared with the control group, the bed time and postoperative exhaust time were obviously decreased in the observation group (Plt;0.05); compared with the control group, the incidence of postoperative complications was significantly reduced in the observation group (Plt;0.05). Conclusion The laparoscopic appendectomy treatment for acute appendicitis has the characteristics such as c