作　　者： ;

机构地区： 廉江市人民医院

出　　处： 《腹腔镜外科杂志》 2017年第11期867-870,共4页

摘　　要： 目的:探讨腹腔镜技术治疗老年急腹症患者的临床价值。方法:回顾分析2007年1月至2015年12月收治的216例老年急腹症患者的临床资料,其中115例采用腹腔镜治疗(腹腔镜组),101例行开腹探查(开腹组)。结果:腹腔镜组术中出血量、下床活动时间、肛门恢复排气时间、住院时间、并发症发生率优于开腹组,差异有统计学意义(P<0.05);急性阑尾炎、上消化道穿孔、粘连性肠梗阻老年患者腹腔镜组术中出血量、下床活动时间、恢复排气时间、住院时间少于开腹组,差异有统计学意义(P<0.05)。结论:腹腔镜手术治疗老年急腹症尤其急性阑尾炎、上消化道穿孔、肠梗阻患者安全、有效。 Objective：To investigate the clinical value of laparoscopy technique in the diagnosis and treatment of acute abdomen in the elderly.Methods：Clinical data of 216 elderly patients with acute abdomen from Jan.2007 to Dec.2015 were retrospectively analyzed.115 cases were treated by laparoscopy and 101 cases were treated by laparotomy.Results：The blood loss,the postoperative ambulation time,the recovery time for postoperative anal flatus,the hospitalization time and the postoperative complications incidence of the laparoscopy group were significantly less than those of the laparotomy group （P ＜ 0.05）.The blood loss,the postoperative ambulation time,the recovery time for postoperative anal flatus and the hospitalization time of aged patients with acute appendicitis,upper digestive tract perforation and adhesive intestinal obstmction in laparoscopy group were significantly less than those in the laparotomy group （P ＜ 0.05）.Conclusions：Laparoscopy operation for elderly patients with acute abdomen especially acute appendicitis,upper digestive tract perforation and intestinal obstruction is safe and effective.

关 键 词： 急腹症 腹腔镜检查 老年人

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