腹腔镜在诊治原发性腹膜炎中的应用

目的:探讨腹腔镜在诊治原发性腹膜炎中的应用价值。方法:将1995年2月至2001年1月应用腹腔镜诊治的原发性腹膜炎11例与1995年以前行开腹手术的24例在手术时间、住院天数、切口感染率方面进行对照。结果:腹腔镜手术组11例的手术时间为(39.9±7.6)min,住院天数(7.9±2.9)d,切口感染率9.1％(1/11);开腹手术组24例的手术时间为(71.0±12.0)min,住院天数(14.0±3.9)d。切口感染率25.0％(6/24)。两组手术时间及住院天数差异有显著性(P<0.01),且腹腔镜组切口感染率低。结论:腹腔镜手术诊治原发性腹膜炎安全、有效、优于开腹手术。

The clinical application of laparoscopy in the diagnosis and treatment of primary peritonitis

Objective: To evaluate the clinical value of laparoscopy in the diagnosis and treatment of primary peritonitis.Methods: From 1995 to 2001,11 patients undergoing laparoscopy for primary peritonitis were compared with 24 patients undergoing laparotomy in the operative time, hospitalization time, the rate of incision infection. Re-sults:ln the laparoscopy group,the operative time was (39.9±7.6)min,the hospitalization was (7.9 ± 2.9)d,the rate of incision infection was 9.1%(1/11).In the laparotomy group,the operative time was (71.0±12.0)min,the hospitalization was (14.0± 3.9) ,the rate of incision infection was 25.0%(6/24) .The operative time and the hospitalization were markedly different(P < 0.01)oooooo The rate of incision infection was lower in the laparoscopy group. Conclusion: Laparoscopy is safe, effective and suprior in the diagnosis and treatment of primary peritonitis.