关键词: 阑尾炎, 腹腔镜, 腹膜炎, 腹腔冲洗

Abstract: 【Abstract】〓Objective〓To evaluate the effect of peritoneal lavage on laparoscopic appendectomy in patients with purulent peritonitis. Methods〓130 cases of acute appendicitis with purulent peritonitis from 2010 to 2014 were selected and divided into two groups based on surgical approaches..The patients in the observation group(n=64) were treated with peritoneal lavage during laparoscopic appendectomy and those in the control group were performed laparoscopic appendectomy alone(n=66)..The postoperative anal exhaust time, hospital stay, hospitalization expense, operative time, leucocyte count in 24 and 72 hours after operation, the complications were compared between the two groups. Results All the operation was successfully performed..Compared with the control group,.the observation group showed shorter postoperative anal exhaust time and hospital stay,.less hospitalization expense,.lower leucocyte count after operation 24 and 72 hours.(27.29±4.29 h vs 36.75±5.93 h,.4.83±1.18 d vs 6.34±1.34 d,7090±807 yuan vs 8880±1304 yuan,9.20±1.20×109/L vs 12.78±1.20×109/L,5.51±1.15×109/L vs 8.94±0.92×109/L),.and there was statistical difference. Meanwhile, the complications in the observation group were significantly less than in the control group..However,.peritoneal lavage spent longer operative time(51.29±6.32 min vs 41.16±2.95 min,.P<0.05). Conclusion〓The effect of peritoneal lavage during laparoscopic appendectomy is safe and effective in the treatment of acute appendicitis with purulent peritonitis..Although long time of operation,.it possesses advantages of short time of hospitalization period,.less hospitalization expense and complications.

Key words: Appendicitis, Laparoscopy, Peritonitis, Peritoneal lavage