腹腔镜手术在外科急腹症治疗中的疗效研究  

Therapeutic effect of laparoscopic surgery on surgical acute abdomen

作　　者：黄宁[1] HUANG Ning(Department of General Surgery,Beijing Changping District Hospital,Beijing102200,China)

机构地区：[1]北京市昌平区医院普外科,北京102200

出　　处：《中国现代医生》2020年第4期44-46,共3页China Modern Doctor

摘　　要：目的研究腹腔镜在外科急腹症的治疗中的疗效,为临床治疗提供指导。方法选择我院2015年1月~2018年1月接诊的100例外科急腹症患者进行研究。按照随机数表法把患者均分为对照组与观察组。对照组接受常规的开腹手术,观察组接受腹腔镜手术治疗。分析两组围术期的各项指标(手术时间、术中出血量、住院时间、肛门排气时间)、止痛药使用率和并发症情况。结果观察组术中出血量(26.04±2.21 mL)明显少于对照组(72.03±3.27 mL),住院和肛门排气时间(6.81±1.23 d、4.51±2.12 h)均明显短于对照组(10.83±1.34 d、7.37±2.43 h),差异有统计学意义(P<0.05)。观察组止痛药的使用率明显低于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。结论外科急腹症患者采取腹腔镜进行治疗,具有明确的临床效果,具有痛苦小、出血少、并发症少等优势,值得临床全面推广普及。Objective To study the efficacy of laparoscopy in the treatment of surgical acute abdomen and provide guidance for clinical treatment.Methods 100 patients with surgical acute abdomen who were admitted to our hospital from January 2015 to January 2018 were enrolled in the study.According to the random number table method,the patients were divided into control group and observation group.The control group underwent routine open abdominal surgery and the observation group underwent laparoscopic surgery.Perioperative indicators(surgery time,intraoperative blood loss,hospital stay,anal exhaust time),analgesic use rate and complications between two groups were analyzed.Results The intraoperative blood loss(26.04±2.21 mL)in the observation group was significantly lower than that in the control group(72.03±3.27 mL),and the hospitalization and anal exhaust time(6.81±1.23 d,4.51±2.12 h)was significantly shorter than that in the control group(10.83±1.34 d,7.37±2.43 h),and the difference was statistically significant(P<0.05).The use rate of analgesics in the observation group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Laparoscopic treatment of patients with surgical acute abdomen has clear clinical effects,and has the advantages of less pain,less bleeding,less complications,etc.It is worthy of comprehensive clinical popularization.

关 键 词：急腹症 腹腔镜 开腹 疗效 并发症 

分 类 号：R615[医药卫生—外科学]