急性坏疽穿孔性阑尾炎的手术治疗疗效

The effect of operative treatment of acute gangrenous perforated appendicitis

目的探讨腹腔镜手术治疗急性坏疽穿孔性阑尾炎的治疗效果。方法选择天津市武清区王庆坨医院2018年1月-2019年6月期间收治的急性坏疽穿孔性阑尾炎患者80例,根据术式不同分为观察组和对照组各40例,观察组采用腹腔镜手术治疗,对照组采用传统开腹外科手术治疗,比较两组患者的手术、下床活动、术后排气、住院时间等指标以及发生切口感染、残余脓肿等并发症。结果观察组患者手术、下床活动、排气、住院时间均短于对照组,差异有统计学意义(P<0.05)。观察组患者并发症发生率为2.5%,低于对照组的20.0%,差异有统计学意义(P<0.05)。结论针对临床急性坏疽穿孔性阑尾炎患者,通过腹腔镜手术开展治疗,具有明显疗效,可控制并发症发生率,确保患者尽快康复。

Objective To investigate the therapeutic effect of laparoscopic surgery in the treatment of acute gangrenous perforated appendicitis. Methods Eighty patiants with acute gangrene perforated appendicitis admitted to Tianjin Wuqing District Wangqingtuo Hospital from January 2018 to June 2019 were selected and divided into observation group and control group according to the different operation methods with40 cases in each group. The observation group was treated with laparoscopic operation, while the control group was treated with traditional open surgery. The operation time, the time of getting out of bed, the postoperative exhaust time, the time of hospitalization and the complications such as wound infection and residual abscess were compared between the two groups. Results The operation time, the time of getting out of bed, the postoperative exhaust time and the time of hospitalization were shorter in the observation group than those in the control group, and the differences were statistically significant(P<0.05). The complication rate in the observation group was 2.5%, lower than 20.0% of the control group, and the difference was statistically significant(P<0.05). Conclusion Laparoscopic surgery for patients with acute gangrene perforated appendicitis was advocated, which had obvious curative effect, could control the incidence of complications and promote the recovery of patientsas soon as possible.