腹腔镜_____阑尾炎；阑尾切除术；腹腔镜

腹腔镜阑尾切除133例分析

http://www.100md.com 《腹腔镜外科杂志》 2005年第4期

腹腔镜,,阑尾炎；阑尾切除术；腹腔镜,1资料与方法,2结果,3讨论,参考文献：

     【摘要】目的：总结腹腔镜阑尾切除术(LA)的经验并探讨手术适应证。方法：总结分析LA 133例的临床资料。结果：133例中急性单纯性阑尾炎12例，急性化脓性阑尾炎91例，其中急性阑尾炎合并卵巢囊肿1例，黄体破裂出血1例，急性盆腔炎2例，回肠内异物致肠穿孔1例。急性坏疽性阑尾炎15例，坏疽穿孔并急性弥漫性腹膜炎13例，慢性阑尾炎2例，其中合并结石性胆囊炎1例。中转剖腹1例，平均住院时间为41d。无切口感染、肠粘连、肠梗阻等并发症发生。结论：行LA时妥善处理阑尾系膜及残端，掌握阑尾移出腹腔的方法，可避免戳孔感染，减少肠粘连、肠梗阻的发生。尤其适合于肥胖、小儿、老年人、育龄妇女及诊断未明的腹膜炎患者，可作为阑尾切除的首选方法。

    【关键词】阑尾炎；阑尾切除术；腹腔镜

    Laparoscopic appendectomy:with a report of 133 cases

    SHU Borong, LU Xian

    bin.Dept.of Foshan Pingzhou Hospital, Foshan 528251,China

    【Abstract】Objective:To evaluate the effect of laparoscopic appendectomy(LA).Methods: The clinical data of 133 patients receiving laparoscopic appendectomy were reviewed retrospectively.Results:All had been performed LA succesfully, except that one case transferred to open laparotomy. The average hospitalization was 4.1 days. There was no infection, intestinal adhesion or obstruction.Conclusions: Laparoscopic appendectomy has the mirits of little trauma, short hospitalization and quick recovery.It is especially suitable for fat, child, aged, woman and undefinitly peritonitis. ......

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