腹腔镜在普外急腹症中的应用效果观察(1)
[摘要] 目的 研究腹腔镜在普外急腹症中的应用效果。 方法 选取2013年1月～2014年6月本院收治的28例急性胆囊炎患者，按照随机数表法将所有患者分为观察组(14例)和对照组(14例)。对照组采用剖腹探查的方法，观察组进行腹腔镜胆囊切除术。对比分析两组的手术时间、平均住院时间、术中出血量、排气时间以及术后并发症。 结果 两组手术时间比较差异无统计学意义(P>0.05)；观察组术中出血量少于对照组，排气时间、平均住院时间短于对照组，并发症发生率低于对照组，差异均有统计学意义(P<0.05)。 结论 腹腔镜应用于普外急腹症具有住院时间短、恢复快、出血量少、并发症少等优点，其效果良好，值得推广应用。
[关键词] 腹腔镜；普外；急腹症
[中图分类号] R616 [文献标识码] A [文章编号] 1674-4721(2015)01(b)-0043-03
Application effect observation of laparoscopic in acute abdomen of general surgery
FU Zong-guang CHEN Zhao-hui LIU Ming
Department of General Surgery，Hospital of Traditional Chinese Medicine of Wanan County in Jiangxi Province，Wanan 343800，China
[Abstract] Objective To research application effect of laparoscopic in acute abdomen of general surgery. Methods 28 patients with acute cholecystitis from January 2013 to June 2014 in our hospital were selected and divided into observation group(14 cases)and control group(14 cases)according to random number table method.Laparotomy method was used in control group，laparoscopic cholecystectomy method was applied in observation group.Surgical time，the average length of staying hospital，operative blood loss，discharge time and postoperative complication in two groups were compared and analyzed. Results Surgical time in two groups was compared，with no statistical difference(P>0.05).Operative blood loss in observation group was less than that in control group，discharge time and the average length of staying hospital in observation group was shorter than that in control group respectively，incidence rate of postoperative complication in observation group was lower than that in control group，with statistical difference(P<0.05). Conclusion Laparoscopy applied in acute abdomen of general surgery has the advantages of short hospitalization time，rapid recovery，less bleeding，less complications，etc.The effect is good，and is worthy of popularization and application
[Key words] Laparoscopy；General surgery；Acute abdomen
急腹症是由于急性腹痛的出现，需要采取相应措施进行紧急处理，常常以病因复杂、发病快、发病率高、病情严重等特点出现[1]。进行急腹症的治疗手段常常以手术、内镜、CT及B超为主，但病因往往不能得到明确诊断[2]。近几年来，随着医疗技术的快速发展，腹腔镜技术已经被广泛地推广应用，不但可以明确诊断病因，而且减轻患者在进行剖腹探查病因时的痛苦。为了进一步观察腹腔镜在普外急腹症中的应用效果，本院对收治的28例急性胆囊炎患者行腹腔镜治疗。
1 资料与方法
1.1 一般资料
选取2013年1月～2014年6月本院收治的28例急性胆囊炎患者，其中男性16例，女性12例，年龄21～56岁，平均为(41.2±5.4)岁。患者均有右上腹剧烈疼痛、胆囊区压痛、墨菲征阳性等体征。整个研究均在患者的知情同意下进行，并经过本院伦理委员会批准实施。按照随机数表法将所有患者分为观察组(14例)和对照组(14例)。两组患者的临床症状、发病原因以及基本资料比较，差异无统计学意义(P>0.05)，具体可比性。
1.2 方法
对照组采用剖腹探查的方法，于患者右上腹经腹直肌切口，依次切开腹壁诸层进入患者腹腔，进行脏器探查，明确患者的病灶部位后，根据探查情况开展具有针对性的手术方式治疗，切除胆囊，清除腹腔积液，必要时置入腹腔引流管，逐层对患者的切口进行缝合[3]。 (傅宗光 陈朝晖 刘明)
[关键词] 腹腔镜；普外；急腹症
[中图分类号] R616 [文献标识码] A [文章编号] 1674-4721(2015)01(b)-0043-03
Application effect observation of laparoscopic in acute abdomen of general surgery
FU Zong-guang CHEN Zhao-hui LIU Ming
Department of General Surgery，Hospital of Traditional Chinese Medicine of Wanan County in Jiangxi Province，Wanan 343800，China
[Abstract] Objective To research application effect of laparoscopic in acute abdomen of general surgery. Methods 28 patients with acute cholecystitis from January 2013 to June 2014 in our hospital were selected and divided into observation group(14 cases)and control group(14 cases)according to random number table method.Laparotomy method was used in control group，laparoscopic cholecystectomy method was applied in observation group.Surgical time，the average length of staying hospital，operative blood loss，discharge time and postoperative complication in two groups were compared and analyzed. Results Surgical time in two groups was compared，with no statistical difference(P>0.05).Operative blood loss in observation group was less than that in control group，discharge time and the average length of staying hospital in observation group was shorter than that in control group respectively，incidence rate of postoperative complication in observation group was lower than that in control group，with statistical difference(P<0.05). Conclusion Laparoscopy applied in acute abdomen of general surgery has the advantages of short hospitalization time，rapid recovery，less bleeding，less complications，etc.The effect is good，and is worthy of popularization and application
[Key words] Laparoscopy；General surgery；Acute abdomen
急腹症是由于急性腹痛的出现，需要采取相应措施进行紧急处理，常常以病因复杂、发病快、发病率高、病情严重等特点出现[1]。进行急腹症的治疗手段常常以手术、内镜、CT及B超为主，但病因往往不能得到明确诊断[2]。近几年来，随着医疗技术的快速发展，腹腔镜技术已经被广泛地推广应用，不但可以明确诊断病因，而且减轻患者在进行剖腹探查病因时的痛苦。为了进一步观察腹腔镜在普外急腹症中的应用效果，本院对收治的28例急性胆囊炎患者行腹腔镜治疗。
1 资料与方法
1.1 一般资料
选取2013年1月～2014年6月本院收治的28例急性胆囊炎患者，其中男性16例，女性12例，年龄21～56岁，平均为(41.2±5.4)岁。患者均有右上腹剧烈疼痛、胆囊区压痛、墨菲征阳性等体征。整个研究均在患者的知情同意下进行，并经过本院伦理委员会批准实施。按照随机数表法将所有患者分为观察组(14例)和对照组(14例)。两组患者的临床症状、发病原因以及基本资料比较，差异无统计学意义(P>0.05)，具体可比性。
1.2 方法
对照组采用剖腹探查的方法，于患者右上腹经腹直肌切口，依次切开腹壁诸层进入患者腹腔，进行脏器探查，明确患者的病灶部位后，根据探查情况开展具有针对性的手术方式治疗，切除胆囊，清除腹腔积液，必要时置入腹腔引流管，逐层对患者的切口进行缝合[3]。 (傅宗光 陈朝晖 刘明)