中国实用外科杂志

中国实用外科杂志

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腹腔镜与开放手术治疗阑尾周围脓肿临床对比研究

罗鹏飞1，林国乐2，李    军3   

  1. 1张家界市中医医院普外科，湖南张家界427000；2中国医学科学院北京协和医院基本外科，北京100730；3中国中医研究院广安门医院普外科，北京100053
  • 出版日期:2017-09-01 发布日期:2017-09-05

  • Online:2017-09-01 Published:2017-09-05

摘要：

目的    比较腹腔镜与开放手术治疗阑尾周围脓肿的疗效差异。方法    回顾性分析2011年2月至2015年2月在张家界市中医医院行手术治疗的290例阑尾周围脓肿病人资料，比较手术时间及术后恢复情况的差异，探讨腹腔镜治疗阑尾周围脓肿中可能出现的问题。结果    腹腔镜与开放手术在手术时间上无明显差异，但术后肠道功能恢复时间早，很快能下床活动，并发症发生率低，术后住院天数少，差异均有统计学意义（P＜0.05）。结论    腹腔镜手术与开放手术相比更有优势，应在高年资医师指导下尽早实施。

关键词: 阑尾周围脓肿, 腹腔镜手术, 开放手术

Abstract:

Clinical comparative study of laparoscopic and open operation for treatment of abscess around appendix                    LUO Peng-fei*,LIN Guo-le，LI Jun. *Department of General Surgery, Traditional Chinese Medicine Hospital of Zhangjiajie City, Zhangjiajie 427000，China
Corresponding author：LI Jun，E-mail：jli.doctor1972@icloud.com
Abstract    Objective To compare and evaluate the differences of laparoscopic appendectomy and open appendectomy for periappendiceal abscess. Methods    The operation time and postoperative recovery of patients with periappendiceal abceses who underwent operations from February 2011 to February 2015 in Traditional Chinese Medicine Hospital of Zhangjiajie City were analyzed retrospectively. The possible problems maybe occurred in laparoscopic appendectomy were fully discussed as well. Results    There were no difference between laparoscopic appendectomy and open appendectomy in terms of operation time. However, patients after laparoscopic appendectomy had shorter recovery time of intestinal function,lower postoperative morbidity and fewer days of hospitalization compared with patients after open appendectomy. There were significant differences (P＜0.05). Conclusion    Compared with open appendectomy,laparoscopic appendectomy has significant advantages and should be performed under the guidance of senior surgeons as soon as possible.

Key words: periappendiceal abscess, laparoscopic appendectomy, open appendectomy