急腹症中腹腔镜应用的临床分析

Clinical Analysis of Laparoscopic Surgery in Acute Abdomen

目的探讨腹腔镜在急腹症临床诊疗当中的应用价值。方法方便选择该院2015年9月—2016年7月期间收治的102例急腹症患者作为研究对象,将其分为观察组(腹腔镜手术)和对照组(常规手术)各51例,观察两组患者的临床治疗效果。结果与对照组相比,观察组患者的探查准确率(98.04%>82.35%)和手术成功率(96.08%>88.24%)相对更高(P<0.05),而并发症发生率(1.96%<9.80%)和术中出血量[(96.14±24.56)m L<(195.52±42.78)m L]相对更低(P<0.05),而术后排气时间[(23.31±3.24)h<(40.56±4.65)h]、住院时间[(5.85±1.34)d<(10.64±2.46)d]相对更短(P<0.05)。结论在急腹症的临床治疗当中应用腹腔镜,充分保障了疾病临床诊疗的安全性,提高诊断准确率和治疗有效率。

Objective This paper tries to evaluate the clinical value of laparoscopy in the diagnosis and treatment of acute abdomen.Methods 102 cases of patients with acute abdomen in the hospital from September 2015 to July 2016 were convenient selected as the research objects,and were randomly divided into the observation group(laparoscopic surgery)and the control group(conventional surgery)with 51 cases in each group,the clinical therapeutic effect of the two groups were observed.Results Compared with control group,the observation group of patients with exploration accuracy(98.04%>82.35%)and the success rate of surgery(96.08%>88.24%)relative higher(P<0.05),and the incidence of complications(1.96%<9.80%)and the amount of bleeding[(96.14±24.56)mL<(195.52±42.78)mL]relative lower(P<0.05),and postoperative exhaust time[(23.31±3.24)h<(40.56±4.65)h],hospitalization time[(5.85±1.34)d<(10.64±2.46)d]relatively shorter(P<0.05).Conclusion Laparoscopic treatment in the clinical treatment of acute abdomen can ensure the safety of clinical diagnosis and treatment,and improve the diagnostic accuracy and treatment efficiency.