腹腔镜治疗急性阑尾炎的临床疗效分析(1)
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【摘要】目的探讨腹腔镜治疗急性阑尾炎的临床疗效。方法92例急性阑尾炎患者随机分为两组，治疗组52例，对照组40例，治疗组采用腹腔镜治疗，对照组采用常规开腹治疗。观察手术时间，术中出血量，术后下床活动时间，住院时间及切口感染率等。并且测定患者手术前和手术后3 d血清的C反应蛋白(CRP)。结果治疗组患者在手术时间，术中出血量，术后下床活动时间，住院时间及切口感染率方面均有明显优于对照组(P<005,P<001)；在治疗后两组患者的CRP均有明显下降(P<001)，并且治疗组下降程度优于对照组(P<005)。结论腹腔镜治疗急性阑尾炎创伤小，恢复快，值得临床应用。
【关键词】急性阑尾炎；腹腔镜；疗效
The effectiveness of laparoscope on acute appendicitisZHU Siguo Xinwen mining group,the departmentof general surgery of laiwu center hospital,Shandong 271103,china
【Abstract】ObjectiveTo study the effectiveness of laparoscope on acute appendicitisMethodsNinetytwo patients with acute appendicitis were randomly divided into two groups,the treatment group(n=52 cases) and the control group(n=40 cases)The patients in the treatment group were operated through laparoscope and the patients in the control group were operated through laparotomyThe operation time,intraoperative blood loss,postoperative ambulation time,length of stay and wound infection rate were observedThe Creactive protein(CRP) was detected before and after treatmentResultsAmong the operation time,intraoperative blood loss,postoperative ambulation time,length of stay and wound infection rate,the treatment was better than the control group(P<005,P<001)The CRP was decreased after treatment in both groups(P<001) and there was a significant difference between the groups(P<005)ConclusionThe trauma was lower and restoration was quicker in the patients with acute appendicitis through laparoscope.
【Key words】Acute appendicitis;Laparoscope;Effectiveness
作者单位：271103山东省新汶矿业集团莱芜中心医院普外科急性阑尾炎是常见的普外科病症之一，同时也是最多见的急腹症中的一种，专家共识，大多数急性阑尾炎确诊后，就该尽早实施阑尾切除术[1]。腹腔镜手术由于其具有创伤小、术后恢复快等优点，正在改变某些传统外科的手术模式[2]，腹腔镜治疗急性阑尾炎已成为一项成熟的技术。我们自2009年7月开始采用腹腔镜治疗急性阑尾炎，效果显著，现报道如下。
1资料与方法
11一般资料选取2009年7月至2011年12月期间到我院诊治的急性阑尾炎患者92例，按照四个表方法随机分成两组治疗组52例，对照组40例 ......
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