复杂性阑尾炎的腹腔镜术中处理及术后处理(附237例报告)  

The intraoperative and postoperative management of laparoscopic appendectomy for the treatment of complicated appendicitis:with a report of 237 cases

作　　者：梁承友[1] 罗毅[1] 刘顺顺[1] 李平[1] 王海江[2] 

机构地区：[1]新疆石河子大学医学院第四附属医院,新疆阿克苏843000 [2]新疆医科大学第三临床医学院

出　　处：《腹腔镜外科杂志》2012年第9期706-708,共3页Journal of Laparoscopic Surgery

摘　　要：目的:探讨腹腔镜阑尾切除术(laparoscopic appendectomy,LA)治疗复杂性阑尾炎的术中及术后处理措施。方法:回顾分析为237例复杂性阑尾炎患者行LA的临床资料。结果:237例均顺利完成腹腔镜手术,无一例中转开腹。手术时间30～115 min,平均65 min;术中均放置腹腔引流管,一般于术后2～5 d拔除;住院4～12 d,平均7.8 d;切口感染9例,予以换药一周后好转;无肠管、输尿管损伤及肠漏发生。结论:LA具有患者创伤小、疼痛轻、肠功能恢复快、切口感染率低、住院时间短等优势,治疗复杂性阑尾炎可行、安全、有效,值得推广应用。Objective：To discuss the intraoperative and postoperative management of laparoscopic appendectomy（LA） for the treatment of complicated appendicitis.Methods：The clinical data of 237 cases who underwent LA for complicated appendicitis were analyzed retrospectively.Results：All operations were conducted successfully with no conversion to open surgery.The mean operation duration is 65 min（30-115 min）.Abdominal cavity drainage were placed in all cases,and was removed 2-5 d after operation.The postoperative hospital stay was 4-12 d,mean 7-8 d.Incision infection occurred in 9 cases and improved after 1 week of dressing change.No bowel and ureter injury as well as intestinal fistula occurred.Conclusions：Laparoscopic appendectomy has the advantage of less trauma and pain,quicker recovery of gastrointestinal function,lower infection rates and shorter hospital stay.It is an safe and effective procedure for the treatment of complicated appendicitis,which is worth of promotion.

关 键 词：复杂性阑尾炎 阑尾切除术 腹腔镜检查 病例报告 

分 类 号：R656.8[医药卫生—外科学]