改良腹腔镜阑尾切除术的临床研究(附1806例报告)

The study of ameliorative laparoscopic appendectomy:a report of 1806 cases

目的探讨改良腹腔镜阑尾切除术的临床安全有效性及经济实用性。方法回顾性分析我院近8年来1806例阑尾切除患者的临床资料和随访结果。其中开腹阑尾切除术(OA)254例,常规腹腔镜阑尾切除术(LA)198例,改良简化腹腔镜阑尾切除术(ALA)1354例。结果严重并发症3组无区别,常规并发症后两组明显低于前组,而改良简化组花费与开腹组相当,明显低于常规组。结论改良简化腹腔镜阑尾切除术安全、经济,应广泛应用。

Objective To explore the security and availability of ameliorative laparoseopic appendectomy （ALA）. Methods The date of 1806 cases（ OA ： 254 cases ; LA ： 198 cases ; ALA ： 1354 cases） with appendicitis were analysed retrospectively. Results It is same with serious complications rate between three groups,but common complications rate was significant higher in OA group than in LA and ALA groups.The cost was lower in ALA group than in LA group. Conclusion ALA is secure,available and ieconomic