摘要
目的：探讨基层医院临床疑诊但不能确诊的急性阑尾炎患者应用腹腔镜处理的价值。方法：回顾分析2003年9月至2008年9月临床疑诊为急性阑尾炎不能确诊的132例患者行腹腔镜探查以明确诊断并进行治疗的临床资料。结果：21例非阑尾病变。95例行腹腔镜阑尾切除术，平均手术时间45min，术后平均住院4．5d，无切口感染发生，1例术后发热5d，术后第7天恢复正常。16例中转开腹行阑尾切除术，手术时间34～70min，平均55min，术后平均住院6．7d，切1：7感染6例，无切口疝发生，术后无腹腔出血、瘘等并发症发生：结论：有条件的基层医院可用腹腔镜为急性阑尾炎诊断不明确的患者进行诊断与治疗。
Objective：The aim of this study is to evaluate the value of laparoscopic management for patients with acrisia acute appendicitis in primary hospital. Methods：Clinical data of 132 patients with acrisia acute appendicitis who underwent laparoscopic exploration for final diagnosis and treatment from Sep. 2003 to Sep. 2008 were retrospectively analysed. Results：Twenty-one patients were excluded,95 were verified as appendicitis and performed laparoscopic appendectomy, the mean operative time was 45min, and mean postoperative hospital stay was 4.5d. Postoperative fever occurred in 1 case for 5d and recovered on the 7th day postoperatively, No inci- sional infection occurred. 16 cases were verified as appendicitis and converted to open appendectomy. The mean operative time was 55min （range 34-70min）, mean postoperative hospital stay was 6.7d. Intestinal infection occurred in 6 eases. No incisional hernia,post- operative abdominal hemorrhage or fistula were found. Conclusions：In conditioned prinmry hospital, laparoscopy can be used for diag- nosis and treatment of acrisia acute appendicitis.
出处
《腹腔镜外科杂志》
2011年第2期116-118,共3页
Journal of Laparoscopic Surgery
