腹腔镜阑尾切除术53例临床分析

Analyssis of laparoscopic appendectomy:a report of 53 cases

目的探讨腹腔镜阑尾切除术在治疗急性阑尾炎中的手术效果。方法回顾性分析腹腔镜阑尾切除术53例,开腹阑尾切除术70例,比较两种术式的手术时间、下床活动时间、术后排气时间、术后镇痛、切口感染率、术后肠粘连发生率、残余脓肿发生率、住院时间。结果比较腹腔镜阑尾切除术组和开腹阑尾切除术组以上各项指标差异均有显著意义(P<0.05)。结论腹腔镜阑尾切除术治疗急性阑尾炎和开腹阑尾切除术相比具有创伤小、恢复快和平均住院时间短等优点,是治疗急性阑尾炎理想的手术方式。

Objective To evaluate the effect of laparoscopic appendectomy. Methods From Jan 2001 to Jan 2005, 123 patients with acute appendicitis were operated Among them, 53 cases were treated with laparoscopic appendectomy and 70cases with operation appendectomy. The operation time, recovery period, complications and the period in hospital were studied. Results There were significant differences between laparoscopic appendectomy and operation appendectomy among these indexes （P〈0.05）. Conclusion Compared with operation appendectomy, laparoscopic appendectomy is amore popular choice for the patients with acute appendicitis because of its advantages of minimal invasion, early recovery few complications and short hospitalization time.