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阑尾切除

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Methods:There were two groups in grass-roots hospital patients with laparoscopic appendicectomy to control study.There were 89 cases in each group.Traditional treatment was applied in control group.

把须行腹腔镜阑尾切除术的患者按入院先后顺序分为两组进行对照研究,对照组89例实施传统的治疗和护理,研究组89例实施临床护理路径。

He had had an appendicectomy 22 years preiously.

曾于22年前行阑尾切除术。

We'll operate on you for appendicitis.

我们要对你动阑尾切除手术。

The following data were compared respectively between two groups,such as operation time,exploratory rate of other diseases in peritoneum,time of postoperative anal exsufflation and ambulation,hospitalization expense,the amount of analgesics patients need after operation,the incidence of incision infection,adhesive intestinal obstruction and residual infection in abdominal cavity.

回顾分析60例腹腔镜阑尾切除术(laparoscopic appendectomy,LA)和同期OA组60例的手术资料,比较两组手术时间、腹腔内其他病变探查率、术后肛门排气时间、术后下床时间、住院费用、术后止痛剂使用、切口感染、粘连性肠梗阻、腹腔残余感染发生率等指标。

The patients in groupⅰ(n=100)were punctured the thoracic vertebra between 11 and 12; the others in group ⅱ(n=100)were punctured the thoracic vertebra between 10 and 11.these were studied in anesthesia extent, dose, muscular flaccidity, the operation time, referred pain, nausea, vomiting and adjuvant application.

选择asa ⅰ~ⅱ级行阑尾切除术200例病人,随机分为t1组:选用胸11~12椎间隙穿刺(n=100);t0组:选用胸10~11椎间隙穿刺(n=100),观察麻醉阻滞平面、麻醉药用量、肌松、手术时间、牵涉痛、恶心、呕吐、辅助药应用等。

Methods:The clinical data of 280 patients underwent LA with ultrasonic scalpel were retrospectively analyzed.

回顾性分析280例应用超声刀行阑尾切除术的临床资料。

No scar umbilication and lump, no compromise of sensory function and other complication occurred.

"一针抽线"缝合法既保留了三针抽线缝合法的优点,同时又基本消除了三针缝合法所存在的缺点;具有腹腔镜阑尾切除术的优点,但费用更低,可避免术前常规放置胃管和尿管,便于基层医院推广使用。

Li Hongzhi and his family members did take medicine, and he himself had a vermiform appendix excising operation as well.

李洪志是十分清楚这一点的。他和他的家人得了病不仅吃药,他本人就去医院动了阑尾切除手术。

Methods The root of vermiform appendix was stitched up and enwrapped in laparoscopic appendectomy by silk stitches.

目的 探讨三孔缝合打结法在腹腔镜阑尾切除术中的可行性及应用。

The abdominal wall in the left lower quadrant, 2 finger breadths (3 cm) cephalad and 2 finger breadths medial to the anterior superior iliac spine, has been shown to be thinner and with a larger pool of fluid than the midline and is usually a good choice for needle insertion for performance of a therapeutic paracentesis.27 The right lower quadrant may be a suboptimal choice in the setting of a dilated cecum or an appendectomy scar.

在过去,常常将腹部正中线耻骨与肚脐中间定为穿刺点,现在,由于腹腔穿刺引流大量液体以及腹中部脂肪厚度增加,左下腹成为腹腔穿刺部位(表1),在左下腹部中线至髂前上棘连线上2指宽(3cm)与距髂前上棘2指宽,已经显示较中部脂肪少及腹水较多是治疗性腹腔穿刺好的首选部位27,在盲肠有扩张或阑尾切除术后瘢痕时右下腹是次选的穿刺部位,应避开腹壁下动脉,这些血管走行在耻骨与髂前上棘之间的中线然后在腹直肌中向上行走,,腹壁可见的侧支循环亦应该避开,腹腔镜检查发现侧支循环可出现在中线并且在腹腔穿刺时有导致血管破裂的风险28。

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