腹部手术史对急性阑尾炎腹腔镜阑尾切除术的影响

【】　目的　探讨腹部手术史对急性阑尾炎腹腔镜阑尾切除术（LA）的影响。　方法　2005年1月-2010年9月，将既往有腹部手术史并行LA的111例患者纳入观察组，同期随机抽取无腹部手术史行LA的220例患者纳入对照组。入选患者排除多次手术史、免疫功能低下、肝肾功能不全及血液病。比较两组中转开腹率、手术时间、术中出血量、术后并发症及住院时间的差异。　结果　两组均未出现术中并发症及死亡，两组患者的中转开腹率、手术时间、术中出血量、术后并发症及住院时间比较，差异均无统计学意义（P>0.05）。　结论　即往腹部手术史对急性阑尾炎LA没有明显影响。【Abstract】　Objective　Toinvestigatetheeffectofpreviousabdominalsurgeryonappendectomyunderlaparoscopeforacuteappendicitis.　Methods　FromJanuary2005toSeptember2010,111patientswithahistoryofabdominalsurgerywhohadundergonelaparoscopicappendectomyduetoacuteappendicitiswereintheobservegroupand220patientsselectedrandomlyfromthepatientswithoutahistoryofpreviousabdominalsurgerywhohadundergonelaparoscopicappendectomywereinthecontrolgroup.Thepatientswithahistoryofmultipleoperations,immunodeficiency,liverandkidneydysfunction,andhematopathywereexcluded.Thedatawerecollectedretrospectivelyandthedifferencesofconversionrate,operativetime,intraoperativebloodloss,postoperativecomplications,andhospitalstayingwerecomparedbetweenthetwogroups.　Results　Therewerenodeathorintraoperativecomplicationsinbothofthetwogroups.Thedifferencesintheconversionrate,operativetime,intraoperativebloodloss,postoperativecomplicationrates,andhospitalstayingbetweenthetwogroupswerenotsignificant(P>0.05).　Conclusion　Previousabdominalsurgeryhasnosignificanteffectonlaparoscopicappendectomyforacuteappendicitis.