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目的探讨老年急腹症患者腹腔镜手术疗效。方法 100例老年急腹症患者平分为两组-治疗组与对照组各40例,两组都采用基础药物治疗与传统手术治疗,治疗组患者在基础治疗基础上加用腹腔镜手术治疗。结果经过治疗后,治疗组总有效率为96.0%,皆在腹腔镜下完成手术,无中转开腹。对照组总有效率为80.0%,治疗组的临床疗效明显好于对照组,差异有显著性意义(P<0.05)。经过对比观察,治疗组的体温恢复、肛门排便、腹痛消失、腹胀消失时间都明显短于对照组,差异有显著性意义(P<0.05)。结论相对于常规手术治疗,腹腔镜手术治疗老年急腹症患者能提高治疗效果,有效缓解相关症状,值得推广应用。
Objective To investigate the effect of laparoscopic surgery in elderly patients with acute abdomen. Methods A total of 100 elderly patients with acute abdomen were divided into two groups: treatment group and control group, 40 cases in each group. Both groups were treated with basic medicine and traditional surgery. Patients in treatment group were treated with laparoscopic surgery on the basis of basic treatment. Results After treatment, the total effective rate of the treatment group was 96.0%. All underwent laparoscopic surgery without conversion to laparotomy. The total effective rate of the control group was 80.0%, the clinical efficacy of the treatment group was significantly better than the control group, the difference was significant (P <0.05). After comparative observation, the body temperature recovery, anal defecation, abdominal pain disappear, disappearance of abdominal distention were significantly shorter than the control group, the difference was statistically significant (P <0.05). Conclusion Compared with conventional surgical treatment, laparoscopic surgery for elderly patients with acute abdomen can improve the treatment effect, effectively relieve the symptoms, it is worth to promote the application.