| 吴迅 刘春 钱皓 高俊 江斌.腹腔镜阑尾切除术与开腹阑尾切除术在阑尾炎治疗中的应用效果比较[J].,2016,16(29):5742-5745 |
| 腹腔镜阑尾切除术与开腹阑尾切除术在阑尾炎治疗中的应用效果比较 |
| Comparison of the Effect of Laparoscopic Appendectomy and OpenAppendectomy in the Treatment of Appendicitis |
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| DOI： |
| 中文关键词: 腹腔镜 阑尾切除术 阑尾炎 炎症因子 |
| 英文关键词: Laparoscopy Appendectomy Appendicitis Inflammatory factor |
| 基金项目: |
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| 中文摘要: |
| 目的：对比腹腔镜阑尾切除术（LA）与传统开腹阑尾切除术（OA）治疗阑尾炎的临床疗效。方法：回顾性分析2014 年1 月至
2016 年5 月我院91 例行LA 患者（LA 组）及113 例行OA 患者（OA 组），于治疗前及治疗后3 天检测血清肿瘤坏死因子
（TNF-a）、血清C 反应蛋白（CRP）水平，对比两组临床相关指标、并发症发生情况。结果：LA 组较OA组出血量少、术后住院时间
短、胃肠功能恢复及下床时间短、术后疼痛评分低、术后镇痛药需求少、并发症发生率低，但手术时间长，差异有统计学意义（P<0.
05）；两组患者治疗后血清TNF-a、CRP水平均均明显下降，且LA 组下降更明显，差异有统计学意义（P<0.05）。结论：相比OA，LA
治疗阑尾炎具有创伤小、住院时间短、恢复快、并发症少等优点，可有效降低血清炎症因子，值得在临床上推广应用。 |
| 英文摘要: |
| Objective:To compare the clinical efficacy of the treatment of appendicitis between Laparoscope appendectomy group
(LA) and open appendectomy group (OA).Methods:The clinical data was collected in general surgery department from January 2014 to
May 2016, which had 91 cases of LA (LA group), and 113 cases of OA (OA group). Detected serum tumor necrosis factor (TNF-a) and
serum C reactive protein (CRP) levels before treatment and 3 d after treatment, the clinical status and complications were compared between
two groups. The tumor necrosis factor (TNF-a) and C reactive protein (CRP) levels were detected by t test before and after treatment
in two groups.Results:Compared with OA, the LA has less bleeding,shorter postoperative hospital stay, recovery time of gastrointestinal
function and bed time, lower postoperative pain score, ess postoperative analgesic requirement, lower complication rate, the difference
was statistically significant (P<0.05). The TNF-a and CRP levels in all patients were lower compared with the preoperation, and
LA was lower than OA after surgery, the difference was statistically significant(P<0.05).Conclusion:Compared with OA, LA has the advantages
of less trauma, shorter hospital stay, faster recovery, less complications and so on. It can effectively reduce the serum inflammatory
factors, which is worthy of clinical application. |
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