腹腔镜探查在急腹症手术治疗中的应用体会  

Application experience of laparoscopic exploration in surgical treatment of acute abdomen

作　　者：汪旭龙 WANG Xulong(Department of General Surgery,Leping People's Hospital of Jiangxi Province,Jingdezhen,Jiangxi,333300,China)

机构地区：[1]江西省乐平市人民医院普外科,江西景德镇333300

出　　处：《当代医学》2021年第27期4-6,共3页Contemporary Medicine

基　　金：景德镇市科技计划项目(20192SFZC056)。

摘　　要：目的研究在急腹症患者手术治疗中应用腹腔镜探查术的价值。方法选取2019年5月至2020年4月于本院接受手术治疗的急腹症患者40例作为研究对象,遵循探查技术差异分为对照组(常规开腹探查术)和观察组(腹腔镜探查术),各20例。比较两组围术期指标、手术前后应激反应、术后并发症以及生活质量情况。结果观察组手术时间、住院时间、肛门排气时间、下床活动时间、引流管拔出时间及肠道功能恢复时间均短于对照组(P<0.05)。术后,观察组Cor、C-P及FT3指标均低于对照组(P<0.05)。术后,观察组并发症发生率低于对照组(P<0.05)。术后,观察组躯体功能、活力、心理卫生、社会功能等生活质量各指标评分均高于对照组(P<0.05)。结论对接受手术治疗的急腹症患者开展腹腔镜探查,可缩短手术时间、住院时间,同时有效降低Cor、C-P以及FT3等应激反应指标,且患者术后并发症发生率较低,生活质量水平较高。Objective To study the value of laparoscopic exploration in surgical treatment of patients with acute abdomen.Methods 40 patients with acute abdomen who received surgical treatment in our hospital from May 2019 to April 2020 were selected as the research subjects.They were divided into control group(conventional open exploration)and observation group(laparoscopic exploration)according to the probe for technical differences,with 20 cases in each group.The perioperative indexes,stress response before and after operation,postoperative complications and quality of life were compared between the two groups.Results The operation time,hospitalization time,anal exhaust time,getting out of bed activity and intestinal function recovery time in the observation group were all shorter than those in the control group(P<0.05).The levels of Cor,C-P and FT3 indexes in the observation group after surgery were lower than those in the control group(P<0.05).The incidence of complications in the observation group were lower than the control group(P<0.05).The scores of physical function,vitality,mental health,social function and other quality of life indexes in the observation group were higher than those in the control group(P<0.05).Conclusion Laparoscopic exploration of acute abdomen patients undergoing surgical treatment can shorten the operation time and hospital stay while effectively reducing Cor,C-P,FT3 and other stress response indicators,and patients have a lower risk of postoperative complications and a higher quality of life.

关 键 词：急腹症 常规开腹探查术 腹腔镜探查术 住院时间 应激反应 生活质量 

分 类 号：R656.1[医药卫生—急诊医学]