腹腔镜下阑尾切除术与开腹手术的疗效对比

Comparison between laparoscopic appendectomy and abdominal operation

目的:比较腹腔镜下阑尾切除术与开腹阑尾切除术治疗阑尾炎的疗效。方法:收治阑尾炎患者68例,分为腹腔镜组和开腹组,各34例,腹腔镜组实施腹腔镜下阑尾切除术,开腹组在开腹下行阑尾切除术。结果:腹腔镜组患者术中出血量、手术时间、肛门排气时间、住院时间、并发症发生率以及止痛药使用均显著优于开腹组(P<0.05)。结论:腹腔镜下阑尾切除术具有术中出血少、手术时间短、术后恢复快、并发症少、患者痛苦小的特点。

Objective:To compare the therapeutic effect of laparoscopic appendectomy and abdominal operation on appendicitis.Methods:68 patients with appendicitis were selected.They were divided into the laparoscopic group and the laparotomy group with34 cases in each.Patients in the laparoscopic group were given laparoscopic appendectomy,while in the laparotomy group patients were taken appendectomy under the laparotomy.Results:The amount of bleeding,operation time,anal exhaust time,the hospitalization time,the complication rate and the use of analgesics in the laparoscopic group were significantly lower than those in the laparotomy group(P<0.05).Conclusions:Laparoscopic appendectomy has the advantages of less bleeding,shorter operation time,quicker recovery,less complications and less pain.