腹腔镜在基层医院急腹症治疗中的应用研究

The Application of Laparoscopy in Acute Abdomen in the Treatment of Primary Hospital

目的探讨腹腔镜在基层医院急腹症治疗中的应用,通过与常规手术治疗的比较观察其疗效,并进行综合的分析。方法对268例急腹症患者接受腹腔镜手术138例和常规手术治疗的130例患者进行回顾性研究。男97例,女171例;年龄19~70岁,分析两组手术成功率、手术时间、术中出血量、术后止痛、术后通气时间、术后并发症、住院时间,为今后的治疗方案选择提供依据。结果腹腔镜手术成功率达92.7%;采用传统手术治疗普外科急腹症的手术成功率为79.2%,两者之间的差异具有统计学意义（P〈0.05）,手术时间、术中出血量、术后止痛、术后通气时间、住院时间以及术后并发症腹腔镜手术组均优于常规手术组（P〈0.01）。结论普外科急腹症通过腹腔镜治疗上明显占有优势,它具有切口小、快恢复、并发症少的特点。

Objective To explore the application of laparoscopic treatment of acute abdominal pain in grassroots hospital, comparing with the conventional surgical treatment to observe the curative effect, and make a comprehensive analysis. Methods 268 cases of 138 cases of laparoscopic surgery in patients with acute abdominal pain and conventional surgical treatment of 130 patients were retrospectively studied. Male 97 cases, female 171 cases. 19 years old to 70 years old, analysis of two groups of surgical success rate, operation time, intraoperative blood loss, postoperative pain, postoperative ventilation time, postoperative complications, the length of time, which provides the basis for the treatment of choice for the future. Results The laparoscopic operation success rate was 92.7%. With traditional surgery in general surgery acute abdomen surgical success rate was 79.2%, the difference between the two has significant statistical significance（P〈0.05）, operation time, intraoperative blood loss, postoperative pain, postoperative ventilation time, length of hospital stay and postoperative complications of laparoscopic surgery group were superior to the conventional surgery group（P〈0.01）. ConclusionGeneral surgery by laparoscopic treatment of acute abdominal disease obvious advantage, it has the characteristics of small incision, fast recovery, fewer complications, with the development of medical technology in the grass-roots hospitals in laparoscopic treatment of acute abdominal pain is worthy of promotion and application.