目的:探讨急性腹膜炎腹腔镜手术与开腹手术的临床效果.方法:回顾分析2005年1月至2011年1月为332例急性腹膜炎患者施行腹腔镜手术的临床资料,同期为253例急性腹膜炎患者施行开腹手术,并对比分析两组手术时间、术后下床时间、通气时间、住院时间、止痛剂使用、粘连性肠梗阻发生例数等.结果:两组均无相关脏器损伤等并发症发生,腹腔镜组2例因需肠切除而中转开腹.两组患者下床时间、拔管时间、住院时间、镇痛剂使用例数、粘连性肠梗阻发生率差异有统计学意义(P＜0.05,P＜0.01),手术时间差异无统计学意义(P＞0.05).结论:急性腹膜炎患者施行腹腔镜手术具有患者创伤小、康复快、住院时间短、美容等优点,值得临床进一步推广.%Objective:To evaluate the clinical effect of laparoscopic surgery and open surgery in acute peritonitis. Methods:The clinical data was retrospectively analyzed from 322 patients of acute peritonitis who underwent laparoscopic surgery and 253 patients who underwent open surgery from Jan. 2005 to Jan. 2011. The operating time, postoperative off-bed time, exhaust time, the hospital stay,analgesic use, and cases of adhesive intestinal obstruction were comparatively analyzed. Results:No complications such as organ injury occurred in either group. 2 cases in the laparoscopic group were converted to open surgery due to bowel resection. There was statistical difference in the off-bed time, decannulation time, the hospital stay, analgesic use, adhesive intestinal obstruction incidence between the two groups(P ＜0.05 or P ＜ 0.01 ). There was no statistical difference in the operating time( P ＞ 0.05 ). Conclusions: Laparoscopic surgery for acute peritonitis has advantages of less trauma, faster recovery, shorter hospital stay and better asmetic result,which is worthpopularization.
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