基层医院老年急性阑尾炎腹腔镜手术疗效观察

Observation of curative effects on laparoscopic appendectomy for elderly patients with acute appendicitis

目的比较腹腔镜手术与开腹手术对治疗老年急性阑尾炎的临床疗效。方法将2008年10月至2010年10月间收治的83例老年急性阑尾炎患者分为腹腔镜阑尾切除术组(LA)43例,开腹阑尾切除术组(OA)40例,对比两组在两组手术时间、术中出血量、术后下床活动时间、术后进食时间、住院时间、使用止痛药、切口感染情况。结果腹腔镜手术组和开腹手术组以上各指标(除术中出血量外)比较差异均有统计学意义。结论腹腔镜治疗老年阑尾炎安全可靠,具有创伤小、恢复快、并发症少和住院时间短等优点,应在基层医院推广与应用。

Objective To compare the advantages of laparoscopic appendectomy versus open appendectomy in aged patients with acute appendicitis. Methods Eight-three patients were divided into laparoscopie group （n=43） and open appendectomy grup （n=40） according to individual willing. Prospective non-randomized study was performed to compare the operative time, operative bleeding, recovery period, bowel exhaust time, hospitalizition time, anesthetic usage rate and wound infection rate. Results There were significant differences between laparoscopic group and open appendectomy group in these indexes except the operative bleeding （P〈0.05）. Conclusion The laparoscopie appendectomy possesses more advantages in treating aged patients with acute appendicitis and can decrease hospitalization time. It should be applicated and popularized in basic hospital.