腹腔镜微创手术治疗急腹症患者的临床效果观察  

Clinical Effect of Minimally Invasive Laparoscopic Surgery in the Treatment of Patients with Acute Abdomen

作　　者：田雨顺 Tian Yu-shun(Beijing Huairou Hospital(Huairou Teaching Hospital of Capital Medical University),Beijing 101400,China)

机构地区：[1]北京怀柔医院(首都医科大学怀柔教学医院),北京101400

出　　处：《中外医药研究》2023年第3期30-32,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:分析腹腔镜微创手术治疗急腹症患者的临床效果。方法:选取2018年1月—2022年5月北京怀柔医院收治的196例急腹症患者为研究对象,根据随机数字表法分为研究组和参考组,各98例。参考组经常规开腹手术治疗,研究组采用腹腔镜微创手术治疗。比较两组手术的临床疗效、恢复情况和并发症发生率。结果:研究组治疗总有效率高于参考组,差异有统计学意义(P=0.022)。研究组术后排气时间、初次下床活动时间及住院时间均短于参考组,术中出血量少于参考组,差异有统计学意义(P<0.001)。研究组并发症发生率低于参考组,差异有统计学意义(P=0.045)。结论:腹腔镜微创手术治疗急腹症患者的临床效果显著,可有效缩短恢复进程,减少术中出血量,降低并发症发生率。Objective:To analyze the clinical effect of minimally invasive laparoscopic surgery in the treatment of patients with acute abdomen.Methods:One hundred and ninety-six patients with acute abdomen admitted to Beijing Huairou Hospital from January 2018 to May 2022 were selected for the study,and were divided into study group and reference group according to the random number table method,with ninety-eight cases each.The reference group was treated by conventional open surgery,and the study group was treated by minimally invasive laparoscopic surgery.The clinical efficacy,recovery and complication rate of the two groups were compared.Results:The total effective rate of treatment in the study group was higher than that in the reference group,and the difference was statistically significant(P=0.022).The postoperative time to exhaustion,time to first bed activity and hospital stay were shorter in the study group than in the reference group,and the amount of intraoperative bleeding was less than that in the reference group,with statistically significant differences(P<0.001).The incidence of complications in the study group was lower than that in the reference group,and the difference was statistically significant(P=0.045).Conclusion:The clinical effect of laparoscopic minimally invasive surgery in the treatment of patients with acute abdomen is significant,which can effectively shorten the recovery process,reduce intraoperative bleeding,and decrease the incidence of complications.

关 键 词：腹腔镜微创手术 急腹症 术中出血量 并发症 术后排气时间 

分 类 号：R65[医药卫生—外科学]