摘要
目的:探讨腹腔镜下治疗坏疽穿孔性阑尾炎的临床应用。方法:回顾性分析本院2008年3月~2011年5月87例腹腔镜治疗坏疽穿孔性阑尾炎患者资料。结果:手术时间25~98min,平均47min,中转开腹1例(阑尾残端朽烂无法镜下修补);术中出血10~25ml,平均15ml;术后下床活动时间6~12h;住院4~7d,平均4.6d;切口感染2例,无其他并发症发生。结论:腹腔镜治疗坏疽穿孔性阑尾炎是一种安全手术方式,具有创伤小,恢复快,并发症少的优势。
Objective: To study the clinical application of the laparoscopic treatment of gangrenous perforative appendicitis. Methods: Data of 87 patients with gangrenous perforative appendicitis who had received laparoscopic treatment in our hospital from March 2008 to May 2011 were analyzed retrospectively. Results: The mean operative time was 25-98 minutes, with an average of 47 minutes, and 1 patient was transferred to laparotomy (the appendiceal stump was rotten and could not be repaired by endoscopy); The intraoperative blood loss was 10-25 ml, with an average of 15 ml; The postoperative out of bed activity time was 6-12 hours; The length of hospital stay was 4-7 days, with an average of 4.6 days; There were 2 cases of wound infection and no other complications occurred. Conclusion: The laparoscopic treatment of gangrenous perforative appendicitis is a safe surgical procedure, with the advantages of smaller trauma, faster recovery and fewer complications.
出处
《中国当代医药》
2011年第33期189-190,共2页
China Modern Medicine
基金
四川省成都市卫生局科学研究基金资助(0811)
关键词
腹腔镜
手术治疗
坏疽穿孔性阑尾炎
临床应用
Laparoscopy
Surgical treatment
Gangrenous perforative appendicitis
Clinical application