摘要
目的探讨分析急性腹膜炎患者行腹腔镜技术和常规开腹手术的优劣差异。方法选取2015年7月~2017年8月我院收治的急性腹膜炎患者92例,将其按照随机数字表法分为两组,均为46例。对照组采用常规开腹手术治疗,观察组采用腹腔镜技术治疗,统计对比两组患者的临床疗效。结果观察组患者的治疗总有效率较对照组要高,两组比较差异具有统计学意义(P<0.05);观察组患者的手术时间、下床活动时间、排气时间以及住院时间均较对照组要短,两组比较差异具有统计学意义(P<0.05);观察组患者的并发症总发生率较对照组要低,两组比较差异具有统计学意义(P<0.05)。结论针对急性腹膜炎患者应用腹腔镜技术治疗的效果要比常规开腹手术更加显著,可以有效缩短患者的手术时间,减少并发症发生,加快康复速度,提高治疗效果,值得推广和应用。
Objective To investigate and analyze the difference between the advantages and disadvantages of laparoscopic and conventional laparotomy for patients with acute peritonitis.Methods Ninety-two cases of acute peritonitis in our hospital from July 2015 to August 2017 were selected and divided into two groups according to the random number method,46 cases in each group.The control group was treated with conventional laparotomy,and the observation group was treated by laparoscopy,and the clinical efficacy of the two groups was compared.Results The total effective rate of the observation group was higher than that in the control group,and the difference between the two groups was obvious(P<0.05);The operation time,the time of ambulation,the time of exhaust and the time of hospitalization of the observation group were shorter than those of the control group,and the difference between the two groups was obvious(P<0.05);The total incidence of complications in the observation group was lower than that in the control group,and the difference between the two groups was significant(P<0.05).Conclusion Laparoscopic surgery is more effective for patients with acute peritonitis than conventional open surgery.It can effectively shorten operation time,reduce complications,speed up rehabilitation and improve treatment effect,which is worthy of popularization and application.
作者
李世清
刘跟华
LI Shiqing;LIU Genhua(Community Health Service Center of Lishui Town of Nanhai District,Foshan 528244,China;Department of General Surgery,the Third People's Hospital of Nanhai District,Foshan 528244,China)
出处
《中国医药科学》
2018年第13期210-212,224,共4页
China Medicine And Pharmacy
基金
广东省佛山市科技计划项目(2017AB000482)
关键词
常规开腹手术
腹腔镜技术
急性腹膜炎
效果
差异
Conventional laparotomy
Laparoscopy
Acute peritonitis
Effect
Difference
