腹腔镜手术治疗阑尾周围脓肿的对比分析  

Comparative study of laparoscopic surgical treatment for periappendiceal abscess

作　　者：钟克力[1] 陈杰[1] 杨明利[1] 李明伟[1] 林烈文[1] 夏利刚[1] 潘凯[1] 

机构地区：[1]暨南大学第二临床学院深圳市人民医院胃肠外科,深圳518020

出　　处：《中华普外科手术学杂志（电子版）》2013年第2期56-57,共2页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

摘　　要：目的探讨采用腹腔镜手术治疗阑尾周围脓肿产生的临床效果。方法阑尾炎并发周围脓肿患者149例,其中采用腹腔镜阑尾脓肿手术57例,和同期的92例开腹阑尾脓肿手术比较,回顾性分析两组患者住院费用、住院时间、手术时间、手术并发症等。结果两组患者手术均为一期切除阑尾,治愈出院。术后并发症发生率腹腔镜组3.5%,开腹组12.0%;住院时间腹腔镜组平均5.7d,开腹组平均8.3d(P<0.05)。结论腹腔镜阑尾脓肿手术具备微创手术的优势,值得推广。Objective To investigate the clinical outcome of periappendiceal abscess treated by laparoscopic operation. Methods Clinical data of 149 patients with periappendiceal abscess, who received surgical treatment （57 cases of laparoscopic operation and 92 cases of laparotomy） , were analyzed retrospectively, including medical cost, hospital stay, operation time and postoperative complications. Results All of 149 patients were cured by the successful resection of the appendix. Compared with laparotomy group, incidence of postoperative complications significantly decreased in laparoscopy group （3.5% vs. 12.0% , P 〈 0.05 ） , and hospital stay were also shorier in laparoscopy group （5.7 d vs. 8.3 d, P 〈0.05） respectively. Conclusion Laparoscopic operation for the treatment of periappendiceal abscess is reliable and mini-invasive, which is worth popularizing.

关 键 词：阑尾炎 腹腔镜检查 阑尾切除术 阑尾脓肿 

分 类 号：R656.8[医药卫生—外科学]