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腹腔镜与腹部小切口阑尾切除术治疗急性阑尾炎疗效比较分析 被引量:12

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摘要 目的分析对比腹腔镜与腹部小切口阑尾切除术治疗急性阑尾炎疗效。方法 80例急性阑尾炎患者,根据手术方式不同分为腹腔镜组(实施腹腔镜手术治疗)与腹部小切口组(开展腹部小切口手术治疗),每组40例。比较两组患者的围术期指标、术后白细胞计数及血清蛋白水平。结果腹腔镜组患者的术时为(45.36±7.18)min,费用为(7359.68±365.72)元,术后通气时间为(19.93±2.68)h,住院天数为(3.74±0.95)d,术后疼痛评分为(3.58±1.09)分;腹部小切口组患者的术时为(35.52±6.13)min,费用为(5183.56±317.42)元,术后通气时间为(27.68±0.37)h,住院天数(5.47±0.95)d,术后疼痛评分为(5.32±1.17)分;腹腔镜组患者的术时长于腹部小切口组,费用高于腹部小切口组,术后通气时间、住院天数短于腹部小切口组,术后疼痛评分低于腹部小切口组,差异具有统计学意义(P<0.05)。腹腔镜组患者的术后白细胞计数为(6.06±0.91)×10~9/L,血清蛋白水平为(7.58±1.62)mg/L;腹部小切口组患者的术后白细胞计数为(8.21±1.59)×10~9/L,血清蛋白水平为(9.28±2.64)mg/L;腹腔镜组患者的术后白细胞计数及血清蛋白水平均低于腹部小切口组,差异具有统计学意义(P<0.05)。结论腹腔镜阑尾切除术治疗急性阑尾炎的临床疗效显著,有在今后临床中广泛应用的价值。
出处 《中国实用医药》 2018年第10期65-66,共2页 China Practical Medicine
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