探讨开腹手术对急性阑尾炎治疗的临床效果

Clinical Effect of Laparotomy in the Treatment of Acute Appendicitis

目的:研究探讨开腹手术在急性阑尾炎临床治疗中的疗效。方法:回顾性分析笔者所在医院2013年1-12月收治的50例因急性阑尾炎而行开腹手术患者的临床资料,并对此所有患者的手术时间、术中出血量、术后下床活动时间、肛门排气时间、切口长度以及住院时间等进行统计分析。结果:接受开腹手术的50例患者均完成开腹阑尾切除术。手术全程顺利进行,术后亦未出现异常情况。血压和心肺功能正常,不需要卧床也不需要禁饮禁食。平均手术时间(36.9±3.21)min,平均术中出血量为(54.21±9.20)ml,平均切口长度为(4.41±0.12)cm,平均术后下床时间为(26.66±3.21)h,平均术后肛门排气时间为(40.21±3.18)h,平均住院天数(7.90±1.11)d,未出现任何并发症。结论:对急性阑尾炎患者行开腹手术进行治疗,疗效显著,具有较高的安全性。

Objective：To study and investigate the curative effect of laparotomy in the clinical treatment of acute appendicitis.Method：The clinical data of 50 acute appendicitis patients with laparotomy in our hospital from January 2013 to December 2013 were retrospectively analyzed,and the operation time,bleeding volume during surgery,postoperative ambulation time,anal exhaust time,incision length and the hospitalization days of all patients were statistical analyzed.Result：50 patients completed the open appendectomy.The whole operation smoothly,postoperative also did not appear abnormal situation.Blood pressure and heart and lung function were normal,did’t need to lie in bed and forbidden to drink and food.The average operation time was （36.9±3.21）minutes,the amount of bleeding during surgery was （54.21±9.20）ml,the average length of incision was （4.41±0.12）cm,the averagepostoperative ambulation time was （26.66±3.21）h,the average postoperative anal exhaust time was （40.21±3.18）h,the average of hospitalization days was （7.90±1.11）days,without any complications.Conclusion：For the treatment of acute appendicitis patients underwent open abdominal operation, the curative effect is remarkable,and has the higher safety.