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目的:探讨急性化脓性阑尾炎合并糖尿病患者腹腔镜阑尾切除术(LA)的安全可行性及其优点。方法:回顾性分析本院近十年行腹腔镜阑尾切除术(LA)的患者中急性化脓性阑尾炎合并糖尿病的37例,总结临床经验。结果:糖尿病患者腹腔镜阑尾切除术(LA)37例,中转开腹1例,中转开腹率2.7%,与同期行LA手术总体中转开腹率差异无统计学意义。结论急性化脓性阑尾炎合并糖尿病患者腹腔镜阑尾切除术(LA)是安全的,具有住院时间短、创伤恢复快,术后并发症少的优点应为首选术式;急性化脓性阑尾炎合并糖尿病患者术前应该积极有效控制血糖。
Objective: To investigate the safety and feasibility of laparoscopic appendectomy (LA) in patients with acute suppurative appendicitis complicated with diabetes mellitus and its advantages. Methods: A retrospective analysis of 37 cases of acute suppurative appendicitis complicated with diabetes mellitus in our hospital who underwent laparoscopic appendectomy (LA) for the past ten years was retrospectively analyzed, and clinical experience was summarized. Results: There were 37 cases of diabetic laparoscopic appendectomy (LA), 1 case of conversion to laparotomy, 2.7% of conversion to laparotomy, and no significant difference from the total conversion of laparotomy to LA. Conclusions Laparoscopic appendectomy (LA) is safe in patients with acute suppurative appendicitis and diabetes mellitus. It has the advantages of short hospital stay, rapid trauma recovery and less postoperative complications. It is the first choice for patients with acute suppurative appendicitis and diabetes mellitus Before should be active and effective control of blood sugar.