Clinical significance of laparoscopic exploration in non-traumatic acute abdomen disease
10.3760/cma.j.issn.1673-4203.2019.06.007
- VernacularTitle:腹腔镜探查在诊断不明确的非创伤性急腹症中的临床意义分析
- Author:
Zhida CHEN
1
;
Hongqing XI
;
Zhi QIAO
Author Information
1. 中国人民解放军总医院第一医学中心普通外科
- Keywords:
Laparoscopes;
Abdomen,acute;
Diagnosis;
Exploration
- From:
International Journal of Surgery
2019;46(6):386-390
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical significance of laparoscopic exploration in non-traumatic acute abdomen disease.Methods Four hundred and fourteen cases of non-traumatic acute abdomen disease patients with unknown determine diagnosis from June 2016 to May 2018 in Department of General Surgery,First Medical Center of Chinese PLA General Hospital were reviewed,among which 278 were males and 136 were females,aged (47.6 ± 7.3) years (range,7-96 years).According to the case for natural order,the patients can be divided into laparoscopic and open surgery group in accordance with the operation records,in which included laparoscopic group 297 examples and open surgery group 117 examples.Operation methods of two groups were chosen on the basis of clear pathogeny and patient condition.Then the outcome of intraoperative and postoperative of two groups were compared and analyzed.Intraoperative outcome index mainly includes:operation time,blood loss and surgical incision length,etc..Postoperative outcome index mainly includes:length of hospital stay,ICU transition time,days of analgesic drug used,hospitalization expenses,intestinal ventilation timing and incision infection rate,etc..Measurement data with normal distribution were represented as mean ± standard deviation (Mean ± SD) and analyzed by matching t test after logistic correction.Comparison between groups of count data was done using the chi-square test.Results In laparoscopic group,intraoperative blood loss,surgical incision length,length of hospital stay,days of analgesic drug used,hospitalization expenses,intestinal ventilation timing,liquid timing,postoperative incision infection rate were:(23.881 ± 12.164) ml,(4.561 ± 1.343) cm,(5.419±0.732) d,(2.831 ±1.453) d,(3.895 ±1.842) ten thousandyuan,(1.891 ±0.654) d,(2.218± 0.395) d,2.02％ (6/297),respectively.The same index of open surgery group were:(84.673 ± 27.662) ml,(12.385 ±3.492) cm,(7.356 ± 1.342) d,(5.676 ± 2.335) d,(5.781 ± 2.467) ten thousand yuan,(2.772 ± 1.033) d,(3.091 ± 0.578) d,17.95％ (21/117),respectively.The indexes of the laparoscopic group were better than those of the open surgery group.The difference between the two groups was statistically significant(P ＜ 0.05).Conclusion For its timely diagnosis,minimally invasive treatment and fast recovery,laparoscopic exploration is of great value in non-traumatic acute abdomen disease patients with unknown determine diagnosis,which is worthy of popularization and application.
