论文部分内容阅读
目的探讨腹腔镜诊治老年人急性阑尾炎的优势。方法收集沈阳市第五人民医院2005-09-2010-12采用腹腔镜阑尾切除术(LA)治疗的老年人急性阑尾炎72例,对其临床资料进行分析。结果 72例阑尾炎均经病理证实,13例术前不能确诊,经腹腔镜探查时证实;48例并存其他疾病;无中转开腹;术后疼痛轻、无切口感染及院内感染,平均住院时间6.7d;全部治愈出院。结论 LA对老年阑尾炎患者损伤较小,术后并发症少、恢复快,可避免误、漏诊,是治疗老年人阑尾炎的一种较为理想的术式。
Objective To investigate the advantages of laparoscopy in the diagnosis and treatment of acute appendicitis in the elderly. Methods A total of 72 elderly patients with acute appendicitis treated with laparoscopic appendectomy (LA) were collected from the Fifth People ’s Hospital of Shenyang City. The clinical data were analyzed. Results 72 cases of appendicitis were pathologically confirmed, 13 cases can not be diagnosed preoperatively confirmed by laparoscopy; 48 cases co-exist other diseases; no transit laparotomy; postoperative pain, incision infection and nosocomial infections, the average length of stay of 6.7 d; all cured and discharged. Conclusion LA has less damage to the elderly patients with appendicitis, less postoperative complications, faster recovery, which can avoid mistakes and missed diagnosis. It is an ideal surgical method for the treatment of appendicitis in the elderly.