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腹腔镜治疗急性化脓性阑尾炎与开腹手术的疗效比较 被引量:17

Comparison of the curative effects of laparoscope operation and open surgery for acute suppurative appendicitis
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摘要 目的:探讨腹腔镜阑尾切除术与传统开腹手术治疗急性化脓性阑尾炎的疗效。方法:选取急性化脓性阑尾炎患者100例,其中腹腔镜治疗组52例,开腹治疗组48例。回顾分析两种手术的治疗效果,比较两种手术的手术时间、肛门排气时间、术后胃肠道功能恢复时间、平均住院时间、伤口感染率、术后残余感染率等方面的差异。结果:两组患者术后无严重并发症,其中腹腔镜组在手术时间、腹腔残余感染率、肛门排气时间、术后胃肠道功能恢复时间等方面显著低于开腹手术组,差异有统计学意义(P<0.05)。结论:腹腔镜治疗急性化脓性阑尾炎安全、有效,治疗效果优于常规开腹手术。 Objective To explore the clinical effects of laparoscopic appendectomy and traditional open surgery for acute suppurative agpendicitis. Methods 100 patients with acute appendicitis in our department from Janurary 2011 to July 2013 were selected and dividedinto two groups: lparoscopic treatment group (52 cases), open treatment group (48 cases). The therapeutic effects of two surgeries were an- alysed retrospectively; the differences in operation time,postoperative residual infection rates,anal exhaust time and postoperative gastroin- testinal restoration time were compared. Results No serious complication occurred in all patients. The operation time,postoperative residual infection rates, anal exhaust time and post -operative gastrointestinal restoration time in lparescopic treatment group were lower than those in open treatment group, and the differences between the two groups had statistical significance ( P 〈 0. 05 ). Conclusion Laparoscopie treatment of acute suppurative appendicitis is safe and effective,with better treatment effect than conventional open surgery.
作者 陈涛 肖军
出处 《吉林医学》 CAS 2014年第2期235-237,共3页 Jilin Medical Journal
关键词 急性化脓性阑尾炎 腹腔镜 开腹手术 Acute suppurative appendicitis Laparoscope Open surgery
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