202例腹腔镜阑尾切除术的临床质量分析和体会

目的探讨腹腔镜阑尾切除术的疗效。方法回顾性分析202例腹腔镜阑尾切除的治疗及预后情况。结果本组202例手术,其中2例因粘连重中转开腹。其余200例均顺利完成全腹腔镜阑尾切除.术后无腹腔内出血、残端瘘、腹腔残余脓肿、残株炎、伤口感染、肠粘连等并发症发生,平均住院4天。结论应用腹腔镜阑尾切除术(LA)具有创伤小、恢复快、误诊率低,住院时间短等优点,是一种安全、可靠、集诊断和治疗于一身的新方法。尤其适用于小儿、老年人、育龄女性、肥胖的患者,值得在临床推广应用。

Objective:to explore the curative effect of laparoscopic appendectomy.Methods:a retrospective analysis of the treatment and prognosis of 202 cases of laparoscopic appendectomy.Results of 202 cases of surgery,of which 2 cases due to adhesion weight transfer laparotomy.The rest of the 200 cases were successfully completed all of laparoscopic appendectomy.Postoperative abdominal hemorrhage,stump fistula,abdominal residual abscess and residual strains in inflammation,wound infection,intestinal adhesion complications occurred,such as average four days in hospital.Conclusionthe application of laparoscopic appendectomy(LA)with little trauma and quick recovery,the misdiagnosis rate is low,the advantages of shorter hospitalization time,is a safe,reliable,and new methods of diagnosis and treatment.Especially for without,the elderly,women of childbearing age,obese patients,is worth popularizing in clinical application and feasibility.