腹腔镜在普外急腹症临床治疗中的应用

Application of Laparoscopy in Clinical Treatment of General Acute Abdomen

目的探究在普外急腹症临床治疗中运用腹腔镜的效果。方法选取该院普外科在2019年2月—2020年2月收治的130例急腹症患者,随机分为观察组(腹腔镜治疗)和对照组(开腹手术治疗)各65例。比较治疗效果、并发症、术中出血量、手术时间和住院时间。结果相比于对照组,观察组治疗总有效率(96.92%)较高,差异有统计学意义(χ^(2)=12.298,P<0.05),并发症发生率(6.15%)较低,差异有统计学意义(χ^(2)=5.482,P<0.05);同时,与对照组相比,观察组术中出血量(61.84±6.22)mL较少,手术时间(35.18±7.21)min、住院时间(5.27±1.12)d较短,差异有统计学意义(t=9.811、12.174、10.065,P<0.05)。结论在普外急腹症临床治疗中运用腹腔镜治疗后,能够有效提高治疗效果,降低并发症,同时还可以减少术中出血量,缩短手术时间和住院时间,其推广应用价值较显著。

Objective To explore the effect of laparoscopy in the clinical treatment of general acute abdomen.Methods A total of 130 patients with acute abdomen who were admitted to the general surgery department of the hospital from February 2019 to February 2020 were randomly divided into observation group(laparoscopic treatment)and control group(open surgery treatment)with 65 cases each.Compare treatment effects,complications,intraoperative blood loss,operation time and hospital stay.Results Compared with the control group,the total effective rate of treatment in the observation group(96.92%)was higher,the difference was statistically significant(χ^(2)=12.298,P<0.05),and the complication rate(6.15%)was lower,the difference was statistically significant(χ^(2)=5.482,P<0.05);Compared with the control group,the observation group had less intraoperative blood loss(61.84±6.22)mL,shorter operation time(35.18±7.21)min,and hospitalization time(5.27±1.12)d,the difference was statistically significant(t=9.811,12.174,10.065,P<0.05).Conclusion The application of laparoscopy in the clinical treatment of general acute abdomen can effectively improve the therapeutic effect and reduce complications,while at the same time it can also reduce the amount of intraoperative blood loss,shorten the operation time and hospital stay,and its promotion and application value is significant.