摘要
目的探究急性坏疽穿孔性阑尾炎患者经腹腔镜切除术治疗的疗效及临床应用价值。方法随机选取我院收治的120例坏疽穿孔性阑尾炎急性发作患者,按照数字表法分组,将其平均分为对照组、试验组2组,对照组给予常规开腹手术治疗,试验组开展腹腔镜下阑尾切除术治疗,对比分析两组患者术后恢复情况、AIR炎症评分、VAS疼痛评分及满意度评分情况。结果试验组患者手术后胃肠功能恢复时间、进食时间、肛门排气时间均低于对照组患者(P<0.05)。试验组患者手术治疗后的体温、白细胞计数、中性粒细胞计数水平与对照组患者相比明显较低,差异有统计学意义(P<0.05)。试验组患者治疗后的AIR、VAS及满意度评分优于对照组患者的,差异有统计学意义(P<0.05)。结论急性坏疽穿孔性阑尾炎患者经腹腔镜切除术治疗的疗效显著,促进患者机体恢复,降低体温,减轻炎症,缓解疼痛,满意度高,意义重大。
Objective To investigate the efficacy and clinical value of laparoscopic resection for acute gangrenous perforated appendicitis.Methods 120 cases were randomly selected from our hospital gangrene in patients with acute exacerbation of perforated appendicitis,according to number table grouping,and the average divided into 2 group,control group received conventional open surgery,the experimental group carried out laparoscopic appendectomy treatment,comparative analysis of scores,AIR inflammation score VAS pain scores and satisfaction of two groups of patients with postoperative recovery.Results the recovery time of gastrointestinal function,feeding time and anal exhaust time in the experimental group were significantly lower than those in the control group（P〈0.05）.The body temperature,WBC count and neutrophil count after operation in the experimental group were significantly lower than those in the control group（P〈0.05）.The scores of AIR,VAS and satisfaction after treatment in the experimental group were obviously better than those in the control group,the difference was statistically significant（P〈0.05）.Conclusion laparoscopic appendectomy is effective in the treatment of acute gangrenous perforated appendicitis.It can promote the recovery of patients,lower body temperature,reduce inflammation,relieve pain,and has high satisfaction and great significance.
出处
《辽宁医学杂志》
2017年第6期8-11,共4页
Medical Journal of Liaoning
