腹腔镜下阑尾切除术68例临床分析  

Clinical Analysis of Laparoscopic Appendectomy (Report of 68 cases)

作　　者：赵加泉 严明[1] 王亮[1] 吕纯业[1] 

机构地区：[1]南京医科大学附属江宁医院

出　　处：《黑龙江医药》2015年第4期965-967,共3页Heilongjiang Medicine journal

基　　金：江苏省卫生厅医学科技项目(YG201305);南京市青卫工程资助项目

摘　　要：目的：总结腹腔镜下阑尾切除术（laparoscopic appendectomy,LA）的应用经验。方法：回顾性分析我院自2011年01月至2013年12月期间68例行LA患者的临床资料。结果：68例均在腹腔镜下完成,其中慢性阑尾炎10例,急性单纯性阑尾炎7例,急性化脓性阑尾炎46例,急性坏疽性阑尾炎5例。手术时间30-90min,平均55min。住院时间3~9天,平均6天。术后无出血、切口感染、粘连性肠梗阻、盆腔脓肿、阑尾残株炎、粪瘘等并发症发生。结论：LA创伤小,恢复快,住院时间短,并发症少,将会成为阑尾切除术的首选方式。Objective： To sum up the experiences of Lapa- roscopic appendectomy. Method： Review the clicinal data of 68 patients who underwent LA from January 2011 to December 2013. Results：68 cases were treated with laparoscopic,includ- ing 10 patients with chronic appendicitis,7 patients with acute simple appendicitis,46 patients with acute suppurative appendi- citis,5 patients with acute gangrenous appendicitis.The length of operation is 30-90 rain,mean time is 55 rain.The length of hos- pitalization is 3~9 days,mean time is 6 days.No hemorrhage,incisional infection,adhesive intestinal obstruction,pelvic abscess, appendix stump inflammation and fecal fistula occurred. Condusion： Laparoscopic appendectomy which obtain advantages of small operative wond,fast recovery,short hospitalization time and few postoperative complications will be the first way of ap- pendectomy.

关 键 词：腹腔镜 阑尾 切除 

分 类 号：R574.61[医药卫生—消化系统] R656.8[医药卫生—内科学]