腹腔镜技术在急性化脓性阑尾炎治疗中的应用效果

Application effect of laparoscopic technique in the treatment of acute suppurative appendicitis

目的探讨腹腔镜技术在急性化脓性阑尾炎治疗中的临床应用效果。方法选取2015年6月~2017年6月我院收治的92例急性化脓性阑尾炎患者作为研究对象,采用随机数字表法将其分为参照组(n=31)和试验组(n=61)。参照组患者行开腹手术疗法进行治疗,试验组患者行腹腔镜技术进行治疗。比较两组患者的手术时间、术后排气时间、术后下床时间、术后疼痛时间、住院时间及并发症总发生率。结果试验组患者的术后排气时间、术后下床时间、术后疼痛时间和住院时间短于参照组,而手术时间长于参照组,差异有统计学意义(P<0.05);试验组的并发症总发生率为4.92%,低于参照组的29.03%,差异有统计学意义(P<0.05)。结论对急性化脓性阑尾炎患者行腹腔镜技术治疗,其治疗效果良好,能有效缩短患者的术后排气时间、下床时间及住院时间,减少并发症的发生。

Objective To explore the clinical effect of laparoscopy in the treatment of acute suppurative appendicitis.Methods A total of 92 patients with acute suppurative appendicitis received from June 2015 to June 2017 in our hospital were selected as subjects.They were divided into reference group(n=31)and experimental group(n=61)by random number table method.Patients in the reference group underwent open surgery,and the patients in the experimental group underwent laparoscopic techniques.The operative time,postoperative exhaust time,postoperative get out of bed time,postoperative pain time,hospitalization time and the total incidence of complications were compared between the two groups.Results The postoperative exhaust time,postoperative get out of bed time,postoperative pain time and hospitalization time of the experimental group were shorter than those in the reference group,and the operative time was longer than that in the reference group,the differences were statistically significant(P<0.05).The total incidence of complications in the experimental group was 4.92%,which was lower than the 29.03%of the reference group,the difference was statistically significant(P<0.05).Conclusion Laparoscopic treatment for acute suppurative appendicitis has a good therapeutic effect,which can effectively shorten postoperative exhaust time,postoperative get out of bed time and hospitalization time,reduce the incidence of complications in patients.