开腹及腹腔镜下阑尾切除术比较研究(附636例报告)

The Clinical Exploration of Laparoscopic Appendectomy

目的探讨腹腔镜下阑尾切除术在外科领域的价值和手术技巧。方法搜集我院2004年1月至2007年12月期间完成的阑尾切除术636例,其中腹腔镜下阑尾切除386例及开腹阑尾切除250例进行对照分析。结果两组病例在年龄、性别、病情等方面的构成无显著性差异。腹腔镜组与开腹组相比,具有创伤小,出血少,术后肠功能恢复快,而且并发症少,住院时间缩短,同时具有腹腔内直视下探查作用。结论阑尾切除术应用腹腔镜技术优于开腹手术,具有一定的临床价值。

Objective To explore the experience of technique and value about laparoscopic appendectomy. Methods 636 patients were divided into laparoscopic greupn （n=386） and open appendectomy group （n=250）. Results Laparoseopic appendectomy resulted in small wound, low bleed, speedy recovery, no recurrence and short hospitalization. And can detect directly abdomen. Conclusion The laparoscopic appendectomy possesses more advantages than open appendectomy.