山区医院腹腔镜治疗急性阑尾炎应用体会  

Application experience of laparoscope in the treatment of acute appendicitis in mountain area hospital

作　　者：蔡浩武[1] 王红旭[1] 陈志明[1] 

机构地区：[1]英德市人民医院普外科,513000

出　　处：《中国实用医药》2017年第35期31-32,共2页China Practical Medicine

摘　　要：目的观察急性阑尾炎患者采取腹腔镜治疗的价值。方法 249例急性阑尾炎患者,均采用腹腔镜手术治疗。分析入组患者手术时间、术中出血量、术后下床活动时间、肛门排气时间、住院时间、并发症发生情况。结果患者手术时间为(42.16±5.76)min,术中出血量为(4.68±1.51)ml,术后下床活动时间为(7.93±2.33)h,术后肛门排气时间为(16.98±4.02)h,总切口长度为(2.12±0.14)cm,住院时间为(5.03±0.94)d。249例患者中腹腔残余感染0例,切口感染2例,肠梗阻0例,并发症发生率为0.8%。结论对急性阑尾炎患者采用腹腔镜治疗可取得较好的临床治疗效果,明显减少患者痛苦,术后恢复较快,并发症较少,效果明显,即使在山区医院也可普及、推广,具有应用价值。Objective To observe the value of laparoscope in the treatment of patients with acute appendicitis. Methods A total of 249 patients with acute appendicitis were all treated with laparoscopic surgery. Analysis were made on operation time, intraoperative bleeding volume, postoperative off-bed activity time, anal exhaust time, hospitalization time and occurrence of complication rate. Results Patients had operation time as（42.16±5.76） min, intraoperative bleeding volume as（4.68±1.51） ml, postoperative off-bed time as（7.93±2.33） h, postoperative anal exhaust time as（16.98±4.02） h, total incision length as（2.12±0.14） cm and hospitalization time as（5.03±0.94） d. Among 249 cases, there were 0 case of residual infection, 2 cases of incision infection, 0 case of intestinal obstruction, and the complication rate was 0.8%. Conclusion Laparoscope provides good clinical treatment effect for patients with acute appendicitis, and can obviously reduce the pain of patients with faster postoperative recovery and fewer complications. The effect is obvious, and it can also be popularized and promoted even in the mountain area hospital. It contains application value.

关 键 词：腹腔镜 急性阑尾炎 山区医院 应用体会 

分 类 号：R656.8[医药卫生—外科学]