腹腔镜手术治疗急性弥漫性腹膜炎96例临床研究

目的探讨腹腔镜手术治疗急性弥漫性腹膜炎的疗效。方法选取2008年2月-2011年12月于本院采用腹腔镜手术进行治疗的96例急性弥漫性腹膜炎患者为观察组,同期采用开腹手术进行治疗的96例急性弥漫性腹膜炎患者为对照组,将两组患者的痊愈率、住院时间、肠功能恢复时间、术后并发症发生率及术前、术后3d、7d的血清WBC、CRP及IL-6进行比较。结果观察组痊愈率高于对照组,住院时间、肠功能恢复时间短于对照组,术后并发症发生率低于对照组,术后3d及7d的血清WBC、CRP及IL-6均低于对照组,P均〈0.05,有显著性差异。结论腹腔镜手术治疗急性弥漫性腹膜炎效果好,安全性高,且患者术后各项状态均恢复较快。

The clinical study of laparoscopic surgery for 96 cases of acute diffuse peritonitis

Objective To explore the efficacy of laparoscopic surgical treatment of acute diffuse peritonitis.Methods 96 cases of acute diffuse peritonitis using laparoscopic surgery for treatment from February 2008 to December 2011 at our hospital were set as the observation group.96 cases of acute diffuse peritonitis over the same period using open surgery for treatment were chosen as the control group.The cure rate of the two groups of patients,hospital stay,bowel function recovery time,postoperative complication rate and serum WBC,CRP,IL-6 level 3 days and 7 days after surgery were compared.Results The cure rate in the observation group was higher than the control group,and the hospital stay,bowel function recovery time was shorter than the control group,the incidence of postoperative complications was lower than the control group.The serum WBC,CRP,IL-6 3days and 7days after surgery lower than the control group,P <0.05,there was significant difference.Conclusion Laparoscopic treatment of acute diffuse peritonitis is effective,safe,and patients can resume the state quickly.