普外科腹腔镜手术治疗急腹症患者的临床效果

目的 探讨普外科腹腔镜手术治疗急腹症患者的临床效果。方法 选择2016年8月至2018年2月期间在本院实施开腹手术治疗的260例急腹症患者为常规组,选择2018年3月至2019年8月期间在本院实施腹腔镜手术治疗的260例急腹症患者为试验组。对比两组患者手术时间、术中出血量、术后排气时间及住院时间、手术切口感染率及手术成功率、并发症发生率。结果 试验组手术时间、术后排气时间及住院时间为(60.35±10.26)min、(5.88±1.01)h、(7.52±1.03)d,均短于常规组的(74.09±11.57)min、(7.26±1.21)h、(10.63±1.28)d;试验组术中出血量为(103.95±17.82)m L,低于常规组的(198.34±20.17)mL,差异有统计学意义(P0.001)。试验组手术切口感染率为1.15%,低于常规组的12.69%;试验组手术成功率为96.92%,高于常规组的53.85%,差异有统计学意义(P0.001)。试验组并发症总发生率为1.92%,低于常规组的8.85%,差异有统计学意义(P0.05)。结论 将腹腔镜应用于普外科急腹症患者治疗中,可减少出血量,缩短其机体恢复时间,降低手术切口感染率,提升手术成功率,同时并发症较少,具有较高的安全价值。

Clinical efficacy of laparoscopic surgery in general surgery for patients with acute abdomen

Objective To explore the clinical efficacy of laparoscopic surgery for patients with acute abdomen in the department of general surgery.Methods A total of 260 patients with acute abdomen who underwent laparotomy in our hospital from August 2016 to February 2018 were selected as the conventional group,and 260 patients with acute abdomen who underwent laparoscopic surgery in our hospital from March 2018 to August 2019 were selected as the experimental group.The operation time,the intraoperative blood loss,the postoperative exhaust time,the hospitalization time,the infection rate of the surgical incision,the success rate of operation and the incidence of complications of each group were compared.Results The operation time,postoperative exhaust time and hospitalization time in the experimental group were (60.35±10.26)min,(5.88±1.01)h and (7.52±1.03)d,respectively,which were shorter than those in the conventional group (74.09±11.57)min,(7.26±1.21)h and (10.63±1.28)d.The intraoperative blood loss in the experimental group was (103.95±17.82)mL,which was lower than that of (198.34±20.17) mL in the conventional group.The abovementioned differences between the two groups were statistically significant(P<0.001).The infection rate of the surgical incision in the experimental group was 1.15%,which was lower than that of (12.69%) in the conventional group.The success rate of operation in the experimental group was 96.92%,which was higher than that of (53.85%) in the conventional group.The above-mentioned differences between the two groups were statistically significant (P<0.001).The total incidence of complications in the experimental group was 1.92%,which was lower than that of (8.85%) in the conventional group,with statistically significant difference (P<0.05).Conclusion The application of laparoscopy can reduce the amount of blood loss,shorten the recovery time,reduce the infection rate of the surgical incision,and improve the success rate of the operation of patients with acute abdomen in the department of general surgery,with fewer complications and higher safety.