腹腔镜技术的应用于非创伤性急腹症手术临床分析.docVIP

腹腔镜技术的应用于非创伤性急腹症手术临床分析 　　[摘要] 目的 探析腹腔镜技术应用于非创伤性急腹症手术临床效果。 方法 方便选取大理州人民?t院在2015年6月―2016年5月收治的96例行非创伤性急腹症手术患者为研究对象，根据患者入院时间先后将其分为对照组和观察组，每组48例。给予对照组患者开腹手术治疗，给予观察组患者腹腔镜手术治疗，对临床治疗效果进行对比分析。结果 经治疗后，两组患者的术中确诊率（97.92% vs 100.00%）、手术时间[（74.65±13.24）min vs（73.22±12.48）min ]相比，差异无统计学意义（P0.05）；观察组患者在术中出血量（108.74±32.16）mL vs（209.68±21.15）mL ]、术后进水时间（8.11±1.25）h vs （13.89±1.78）h]、术后住院时间[（6.05±1.23）d vs（9.67±1.74）d]上与对照组相比差异有统计学意义（P0.05）；观察组患者术后并发症发生率为6.24%，与对照组的27.09%相比差异有统计学意义（P0.05）。 结论 在非创伤性急腹症的临床治疗上，腹腔镜技术的临床应用价值高于传统开腹手术，且具有出血量少、创伤性小、术后恢复快、住院时间短、并发症少等治疗优势，值得在临床治疗上进一步应用和推广。 　　[关键词] 腹腔镜技术；非创伤性急腹症；临床效果 　　[中图分类号] R7656 [文献标识码] A [文章编号] 1674-0742（2017）01（b）-0025-03 　　[Abstract] Objective To study the clinical effect of laparoscopic technology in the non-traumatic acute abdomen operation. Methods Convenient selection 96 cases of patients with non-traumatic acute abdomen operation admitted and treated in the Dali People’s Hospital from June 2015 to May 2016 were selected as the research objects and divided into two groups with 48 cases in each according to the admission time， the control group were treated with open surgery， while the observation group were treated with laparoscopic surgery， and the clinical treatment effect was compared and analyzed. Results After treatment， the differences in the intraoperative diagnosis rate and operation time had no statistical significance（P0.05）[（97.92%vs100.00%）， （74.65±13.24）min vs（73.22±12.48）min]， the differences in the intraoperative bleeding amount， postoperative influent time and postoperative length of stay between the observation group and the control group had statistical significance，[（108.74±32.16）mL vs （209.68±21.15）mL， （8.11±1.25）h vs（13.89±1.78）h， （6.05±1.23）d vs （9.67±1.74）d]， and the incidence rate of postoperative complications between the observation group and control group had statistical significance（P0.05）（6.24% vs 27.09%）. Conclusion In the clinical treatment of non-traumatic acute abdomen， the clinical application v