腹腔镜技术治疗急性腹膜炎的临床效果观察

Clinical Effect of Laparoscopic on Treatment of Acute Peritonitis

目的:进一步提高急性腹膜炎患者的临床治疗效果,并减少治疗后并发症的发生率,分析和探讨腹腔镜技术在治疗过程中应用的价值和意义。方法:将2012年3月至2015年3月期间在陕西省人民医院治疗的240例急性腹膜炎患者作为研究对象,并按照随机数字表的方法将其分为对照组和观察组各120例,其中观察组患者在治疗的过程中选取腹腔镜技术进行治疗,而对照组患者治疗上给予常规开腹手术治疗,对比两组患者手术情况及术后各种并发症的发生几率。结果:经过数据统计发现,观察组在手术耗时、术后下床时间、肛门排气时间及拔除引流管时间四个方面和对照组患者相比明显缩短,且两组治疗方案比较差异具有统计学意义(P<0.05);两组患者术后并发症(腹腔脓肿、切口感染、术后大出血)的发生几率比较差异无统计学意义(P>0.05)。结论:针对急性腹膜炎患者在治疗的过程中选取腹腔镜技术进行治疗,其不仅临床效果明显,而且为患者节省时间及花费,并发症少,值得临床推荐。

Objective： To further improve the clinical effect of patients with acute peritonitis and reduce the incidence of complications after the treatment, analyze and evaluate the application of laparoscopic techniques on treatment of application value and significance. Methods： 240 cases of acute peritonitis patients admitted in our hospital from March 2012 to 2015 March were selected as the research object, according to the random number table method, they were divided into control group and observation group, with 120 cases in each group, observation group used laparoscopic technique, while control group were given conventional open surgery, compared two groups＇;operation and postoperative complications occurrence probability. Results： After statistical data, the operation time, postoperative bed time, anus exhaust time and pull out the tube time of the observation group compared with the control group was significantly reduced, the difference was significant statistically significant （P〈0.05）. The risk of postoperative complications （abdominal abscess, infection of incision, postoperative bleeding） comparative differences of two groups had no statistical significance （P〉0.05）. Conclusion： The acute peritonitis patients in treatment process selection of laparoscopic technique treatment, not only has significant clinical effect and for patients to save time and cost, and has low incidence, which is worthy of recommendation.