坏疽_____阑尾炎；坏疽；腹腔镜；阑尾切除术

根部坏疽穿孔性阑尾炎的腹腔镜治疗

http://www.100md.com 《腹腔镜外科杂志》 2006年第1期

坏疽,,阑尾炎；坏疽；腹腔镜；阑尾切除术,1资料与方法,2结果,3讨论,参考文献：

     【摘要】目的：探讨腹腔镜阑尾切除术(LA)治疗根部坏疽穿孔性阑尾炎的安全性和可行性。方法：总结2001年9月至2004年9月应用LA治疗45例根部坏疽穿孔性阑尾炎的临床资料,术中处理阑尾根部时，Endoloop阑尾根部直接套扎23例，间断缝合阑尾残端加医用生物蛋白胶覆盖15例,清除阑尾残余组织加医用生物蛋白胶覆盖残端放置硅胶引流管7例。结果：手术全部成功,无中转开腹,平均手术时间76.3min,术后排气时间23.8h,11例术后使用止痛药,1例戳口感染,无肠漏及腹腔脓肿发生,平均住院时间5.5d。结论：对于根部坏疽穿孔性阑尾LA术是可行的,并具有创伤小、康复快、并发症少等优点。

    【关键词】阑尾炎；坏疽；腹腔镜；阑尾切除术

    Laparoscopic appendectomy for root gangrenous perforative appendicitis

    ZHU Dajian,RONG Zhenxiang,JU Yongle,et al.

    Dept.of Minimally Invasive Surgery,the First Hospital of Shunde,Foshan 528300,China

    【Abstract】 Objective:To explore the feasibility and safety of laparoscopic appendectomy(LA) for root gangrenous perforative appendicitis.Methods:Fortyfive patients with root gangrenous perforative appendicitis were treated with laparoscopic appendectomy from September 2001 to September 2004,and the clinic data were analyzed.Results:All operations were successful and no one was converted to open surgery.The mean length of operation time was 76.3 minutes.The exhaust time was 23.8 hours after operation.11 cases were treated with antalgica after operation.l case had pore infection.No case appears residual abscess and colic fistula.The mean time for hospitalization was 5.5 days.Conclusions:Laparoscopic appendectomy for root gangrenous perforative appendicitis is safe and feasible,with advantages of minimal invasion,early recovery,few complications. ......

百拇医药网 http://www.100md.com/html/DirDu/2006/03/23/95/58/60.htm

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