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目的探讨腹腔镜手术治疗急性弥漫性腹膜炎的疗效。方法选取2008年2月-2011年12月于本院采用腹腔镜手术进行治疗的96例急性弥漫性腹膜炎患者为观察组,同期采用开腹手术进行治疗的96例急性弥漫性腹膜炎患者为对照组,将两组患者的痊愈率、住院时间、肠功能恢复时间、术后并发症发生率及术前、术后3d、7d的血清WBC、CRP及IL-6进行比较。结果观察组痊愈率高于对照组,住院时间、肠功能恢复时间短于对照组,术后并发症发生率低于对照组,术后3d及7d的血清WBC、CRP及IL-6均低于对照组,P均<0.05,有显著性差异。结论腹腔镜手术治疗急性弥漫性腹膜炎效果好,安全性高,且患者术后各项状态均恢复较快。
Objective To investigate the efficacy of laparoscopic surgery for acute diffuse peritonitis. Methods 96 patients with acute diffuse peritonitis who underwent laparoscopic surgery in our hospital from February 2008 to December 2011 were selected as the observation group. 96 patients with acute diffuse peritonitis treated by laparotomy during the same period were selected as the control group The recovery rate, hospitalization time, recovery time of intestinal function, incidence of postoperative complications and preoperative, postoperative 3d, 7d serum WBC, CRP and IL-6 were compared. Results The cure rate of the observation group was higher than that of the control group. The length of hospitalization and intestine function recovery was shorter than that of the control group. The incidence of postoperative complications was lower than that of the control group. The serum WBC, CRP and IL-6 levels were lower at 3d and 7d after operation The control group, P <0.05, there was a significant difference. Conclusion Laparoscopic surgery for acute diffuse peritonitis has a good effect and high safety, and the postoperative patients recover quickly.