摘要
目的:探讨腹腔镜手术诊治急性弥漫性腹膜炎临床疗效。方法:随机选择行急性弥散性腹膜炎治疗患者80例,将患得分为对照组与观察组,每组各40例。对照组给予常规开腹手术,观察组给予腹腔镜手术,观察比较两组患者术中诊断结果及手术相关指标。结果:两组患者诊断准确率均为100. 00%。观察组患者手术时间长于对照组,但术中出血量、排气时间、住院时间均明显低于对照组;术后并发症观察组发生率为2. 50%,明显低于对照组的20. 00%。以上多项比较,两组间差异均具有统计学意义(P <0. 05)。结论:对于急性弥漫性腹膜炎患者,腹腔镜手术具有较好的诊治结果,能够在术中对病因进行准确诊断,同时减少患者所受损伤,缩短患者术后恢复时间。
Objective To observe the clinical efficacy of laparoscopic surgery- in the diagnosis and treatment of acute diffuse peritonitis. Method 80 cases of acute diffuse peritonitis were randomly selected. The patients were randomly divided into obser- vation group and control group. 40 cases in each group. The control group was given routine laparotomy. The observation group was given laparoscopy, and the results of diagnosis and operation related indexes of the two groups were observed. Results The di- agnostic accuracy of the two groups was 100. 00%. The operation time of the observation group was longer than that of the control group, but the amount of bleeding, the time of exhaust and the time of hospitalization were significantly lower than that of the con- trol group. The incidence of postoperative complications in the observation group was 2.50% , which was significantly lower than that of the control group （20. 00% ）, and the difference was statistically significant （P 〈 0. 05 ）. Conclusion laparoscopic surgery for acute diffuse peritonitis has a good diagnosis and treatment. It can diagnose the cause of the disease accurately, reduce the in- jury of the patients, shorten the recovery time of the patients.
作者
甘小海
曾宪明
黄敬恩
GAN Xiao-hai;ZENG Xian-ruing;HUANG Jing-en(Surgical department,QiaShi Hospital of Dongguan City,Guangdong Province,Dongguan 523500,China)
出处
《吉林医学》
CAS
2018年第10期1950-1951,共2页
Jilin Medical Journal
关键词
腹腔镜
急性弥漫性腹膜炎
诊治
Laparoscopy
Acute diffuse peritonitis
Diagnosis and treatment
