孙桂海 周峰

[摘要] 目的 分析急腹癥患者采取腹腔镜技术诊治的临床应用价值。 方法 方便选择2017年3月—2019年3月该院腹部外科收治急腹症患者50例为研究对象，参照随机抽选结果分为观察组与对照组，对照组采取传统开腹手术诊治，观察组患者采取腹腔镜技术诊治，对比两组患者手术相关指标，统计并分析各组患者术后恢复情况差异，记录并计算患者不良反应总发生率。结果 观察组患者手术时长（40.25±2.31）min、总住院时长（6.59±1.13）d均明显短于对照组，术中出血量（111.59±10.02）mL少于对照组（t=15.750、20.040、15.880，P<0.05）。术后观察组患者恢复正常体温用时（1.34±0.12）d、进食时间（15.58±1.03）h、排气时间（14.33±1.13）h、下床时间（12.41±0.47）h均较对照组相比更短（t=10.560、21.450、20.070、23.050，P<0.05）。观察组患者发生不良反应的概率低于对照组（χ2=4.150，P<0.05）。结论 急腹症患者通过腹腔镜技术诊治效果更佳，可加速患者病情恢复，预防并发症，值得临床推广应用。

[关键词] 腹腔镜技术;腹部外科;急腹症;诊断;治疗

[中图分类号] R656          [文献标识码] A          [文章编号] 1674-0742（2019）11（a）-0051-03

Clinical Application of Laparoscopic Technique in the Diagnosis and Treatment of Abdominal Surgery Acute Abdomen

SUN Gui-hai， ZHOU Feng

Department of General Surgery， the Third People's Hospital of Taizhou City， Taizhou， Jiangsu Province， 225300 China

[Abstract] Objective To analyze the clinical application value of laparoscopic diagnosis and treatment in patients with acute abdomen. Methods From March 2017 to March 2019， 50 patients with acute abdomen in the hospital were conveniently selected as subjects. The results of computer sampling were divided into observation group and control group. The control group was treated with traditional open surgery. Patients in the observation group were treated with laparoscopic technique. The surgical outcomes of the two groups were compared. The differences in postoperative recovery were analyzed and analyzed. The total incidence of adverse reactions was recorded and calculated. Results In the observation group， the length of operation （40.25±2.31） min and the total length of hospitalization （6.59±1.13）d were significantly shorter than that of the control group. The intraoperative blood loss （111.59±10.02） mL was less than the control group （t=15.750， 20.040， 15.880， P<0.05）. The postoperative observation group recovered normal body temperature（1.34±0.12）d， eating time（15.58±1.03） h， exhaust time （14.33±1.13） h， and bedtime （12.41±0.47） h were shorted than those in the control group（t=16.560， 21.450， 20.070， 23.050， P<0.05）. The probability of adverse reactions was lower in the observation group than in the control group（χ2=4.15， P<0.05）. Conclusion Patients with acute abdomen have better laparoscopic diagnosis and treatment， which can accelerate the recovery of patients' disease and prevent complications. It is worthy of clinical application.

[Key words] Laparoscopic technique; Abdominal surgery; Acute abdomen; Diagnosis; Treatment

急腹症患者早期症状表现以腹痛为主，并不具代表性，因而很容易出现漏诊、误诊问题，造成治疗的延误，影响治疗质量[1]。传统诊治急腹症患者多选择开腹手术，对患者造成的创伤较大，不利于患者术后恢复。随着医疗技术水平的提高，腹腔镜技术得以发展与完善，其凭借操作便捷、安全高效、准确性良好等优势深受患者与医生的认可及好评[2]。该文以2017年3月—2019年3月该院收治50例急腹症患者为例，探究腹腔镜技术诊治该疾病的临床价值，现报道如下。

1  资料与方法

1.1  一般资料

方便选择该院腹部外科收治急腹症患者50例为研究对象，参照随机抽选结果分为观察组与对照组，对照组共计患者25例，包括男性13例，女性12例，最小年龄21岁，最大年龄84岁，平均年龄（52.1±0.5）岁。观察组共计患者25例，包括男性14例，女性11例，最小年龄22岁，最大年龄83岁，平均年龄（52.2±0.6）岁。……