腹腔镜技术在急腹症中的临床应用

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1、腹腔甯支术在急腹症中的I鑰应用2018-03-2910:29:48中国现代医生2018年5期朴光熙金红旭［摘要］目的探讨腹腔镜技术在急腹症中的临床应用。方法回顾性分析2016年1月〜2017年1月我院收治的60例急腹症患者的临床资料。40例行腹腔镜手术(腹腔镜组)，20例行开腹手术(开腹组)，对两组的手术各项观察指标进行比较分析。结果腹腔镜组中，急性阑尾炎20例、急性胆麥炎13例、粘连性肠梗阻5例、消化性溃疡穿孔修补术2例。开腹组屮，急性阑尾炎10例、急性胆囊炎2例、粘连性肠梗阻2例、消化性溃疡穿孔6例。腹腔镜组患者的手术时间、术后下床活动吋间及患者住院时间明显短于开腹

2、组，术中出血量明显少于开腹组，术后并发症发牛率显著低于开腹组，差异具有显著性(Pv0.05)。结论腹腔镜技术用于急腹症屮具有重耍作用，可显著提高疾病诊断的准确率，且具有手术时间短、术中出血少、术后恢复快、并发症少、住院时间短等优点，值得广泛推广和应用。［关键词］急腹症；腹腔镜技术；并发症；住院时间［中图分类号］R656.1［文献标识码］B［文章编号］1673-9701(2018)05-0107-03［Abstract］ObjectiveToinvestigatetheclinicalapplicationoflaparoscopyinacuteabdomen.Metho

3、dsTheclinicaldataof60patientswithacuteabdomenadmittedinourhospitalfromJanuary2016toJanuary2017wereanalyzedretrospective!y.40casesunderwentlaparoscopicsurgery(laparoscopicgroup),and20casesunderwentlaparotomy(laparotomygroup)・Thesurgicalindicatorsbetweenthetwogroupswerecompared・ResultsTher

4、ewere20casesofacuteappendicitis,13casesofacutecholecystitis,5casesofadhesiveintestinalobstructionand2casesofpepticulcerperforationrepairinthelaparoscopicgroup・Therewere10casesofacuteappendicitis,2casesofacutecholecystitis,2casesofadhesiveintestinalobstructionand6casesofpepticulcerperfora

5、tioninthelaparotomygroup・Thesurgerytime,postoperativeambulationtimeandhospitalizationtimeinthelaparoscopicgroupwassignificantlyshorterthanthatofthelaparotomygroup.Theintraoperativebleedinginthelaparoscopicgroupwassignificantlylessthanthatofthelaparotomygroup,andtheincideneeofpostoperativ

6、ecomplicationsinthelaparoscopicgroupwassignificantlylowerthanthatofthelaparotomygroup,andthediffereneewassignificant(Pv0・05)・ConclusionLaparoscopictechniqueplaysanimportantroleinacuteabdomenandcansignificantlyimprovetheaccuracyofdiseasediagnosis.Ithastheadvantagesofshorteroperationtime,l

7、essintraoperativebleeding,fasterpostoperativerecovery,fewercomplicationsandshorterhospitalstay,whichisworthyofwidepromotionandapplication.［Keywords］Acuteabdomen；Laparoscopy；Complications；Hospitalizationtime急腹熾是外科常见的需要紧急处理或手术的急性腹部疾病，以急性腹痛为突出特点，具有发病急、病情重、病情复杂、变化快等特点，需要及时采取措