腹腔镜联合手术治疗肠粘连合并阑尾炎的临床疗效及安全性评价

摘要

目的：探究与分析腹腔镜联合手术治疗肠粘连合并阑尾炎的临床疗效及安全性。方法选取我院自2014年5月～2015年5月收治的120例肠粘连合并阑尾炎患者，采取随机数字表法分为常规治疗组与联合治疗组，每组各60例，常规治疗组给予常规开腹手术，联合治疗组给予腹腔镜阑尾切除术联合肠粘连松解术，对比二者临床效果。结果联合治疗组较常规治疗组相比，手术时间缩短、出血量减少、肠蠕动恢复时间缩短、住院时间缩短，P<0.05，差异具有统计学意义。常规治疗组的并发症发生率为16.67%，联合治疗组的并发症发生率为3.33%，联合治疗组的并发症发生率低于常规治疗组，P<0.05，差异具有统计学意义。结论对于肠粘连合并阑尾炎的患者采用腹腔镜阑尾切除术联合肠粘连松解术治疗可取得治疗效果，不仅减少了手术创伤，同时具有较高的安全性。%Objective To explore and analyze the clinical efficacy and safety of laparoscopic combined surgery in the treatment of patients with intestinal adhesion and appendicitis.Methods Our hospital were treated 120 cases of adhesions appendicitis patients from May 2014 to May 2015. They were divided into conventional treatment group and combined treatment group,each with 60 cases. Conventional treatment group received conventional open surgery, combined therapy group received laparoscopic appendectomy joint enterolysis,then contrasted the two clinical results.ResultsThe combined treatment group compared with the conventional treatment group,had shorter surgery time,reduced the amount of bleeding and bowel recovery time, and had shorter hospital stays,P< 0.05. Complications occurred in conventional treatment group was 16.67%,the incidence of complications in the combined treatment group was 3.33%,the incidence of complications in the combined treatment group was significantly lower than the conventional treatment group,P< 0.05.ConclusionFor patients with appendicitis adhesions using laparoscopic appendectomy joint enterolysis treatment can achieve significant therapeutic effect,not only reduce the surgical trauma, but also has high security.