腹腔镜探查术与开腹探查术在诊断不明急腹症中的临床对比应用研究

Laparoscopic surgical exploration and open surgical exploration in the diagnosis of unknown in the acute clinical application research

目的:探讨腹腔镜探查术与开腹探查术在诊断不明急腹症中的临床应用价值及各自的优缺点。方法将60例具有手术指征的急腹症患者,随机分为腹腔镜手术组及开腹手术组,各自30例患者,比较2组平均手术时间、术中出血量、肠道功能恢复时间、住院时间。结果30例成功施行了腹腔镜手术的急腹症患者平均手术时间较开腹手术时间短,术中出血量明显少于开腹手术,肠道功能恢复时间较开腹手术明显提前,住院时间均短于开腹手术,且腹腔镜组患者术后均未使用镇痛药物。结论腹腔镜探查术在治疗不明原因的急腹症较传统开腹手术具有明显的优势,其创伤小,术中及术后并发症少,术后恢复可,而且具有诊断和治疗价值,值得在临床上推广。

Objective To study the laparoscopic surgical exploration and open surgical exploration in the diagnosis of unknown of the clinical application value of acute abdominal pain and their respective advantages and disadvantages.Methods 60 cases of patients with operation indications of acute abdominal pain,were randomly divided into laparoscopic surgery group and the open surgery group,each 30 patients,compare two groups average operation time,intraoperative blood loss,the intestinal function recovery time,hospital stay.Results 30 cases of successfully implemented the laparoscopic surgery in the patients with acute abdomen average operation time is short open operation time,intraoperative blood loss significantly less than laparotomy,the intestinal function recovery time than laparotomy early obviously,length of hospital stay were shorter than laparotomy,and postoperative patients with laparoscopic group were not use of analgesic drugs.Conclusion laparoscopic surgical exploration in the treatment of acute abdominal pain of unknown origin than traditional open operation has obvious advantages,its small trauma,less intraoperative and postoperative complications,postoperative recovery,and diagnostic and therapeutic value,is worth popularizing in clinic.