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目的探讨腹腔镜治疗急性阑尾炎的临床疗效。方法 92例急性阑尾炎患者随机分为两组,治疗组52例,对照组40例,治疗组采用腹腔镜治疗,对照组采用常规开腹治疗。观察手术时间,术中出血量,术后下床活动时间,住院时间及切口感染率等。并且测定患者手术前和手术后3d血清的C反应蛋白(CRP)。结果治疗组患者在手术时间,术中出血量,术后下床活动时间,住院时间及切口感染率方面均有明显优于对照组(P<0.05,P<0.01);在治疗后两组患者的CRP均有明显下降(P<0.01),并且治疗组下降程度优于对照组(P<0.05)。结论腹腔镜治疗急性阑尾炎创伤小,恢复快,值得临床应用。
Objective To investigate the clinical efficacy of laparoscopy in the treatment of acute appendicitis. Methods A total of 92 patients with acute appendicitis were randomly divided into two groups: treatment group (52 cases) and control group (40 cases). The treatment group was treated by laparoscopy and the control group by conventional laparotomy. Observation of operation time, intraoperative blood loss, postoperative ambulation time, hospitalization and incision infection rate. Serum C-reactive protein (CRP) was measured before and after surgery. Results The patients in the treatment group were significantly better than those in the control group (P <0.05, P <0.01) in operation time, intraoperative blood loss, time to bed ambulation, hospital stay and incision infection rate. After treatment, CRP decreased significantly (P <0.01), and the treatment group decreased more than the control group (P <0.05). Conclusions Laparoscopic treatment of acute appendicitis trauma, rapid recovery, it is worth clinical application.