腹腔镜治疗急性阑尾炎的临床疗效分析

The effectiveness of laparoscope on acute appendicitis

目的探讨腹腔镜治疗急性阑尾炎的临床疗效。方法 92例急性阑尾炎患者随机分为两组,治疗组52例,对照组40例,治疗组采用腹腔镜治疗,对照组采用常规开腹治疗。观察手术时间,术中出血量,术后下床活动时间,住院时间及切口感染率等。并且测定患者手术前和手术后3d血清的C反应蛋白(CRP)。结果治疗组患者在手术时间,术中出血量,术后下床活动时间,住院时间及切口感染率方面均有明显优于对照组(P<0.05,P<0.01);在治疗后两组患者的CRP均有明显下降(P<0.01),并且治疗组下降程度优于对照组(P<0.05)。结论腹腔镜治疗急性阑尾炎创伤小,恢复快,值得临床应用。

Objective To study the effectiveness of laparoscope on acute appendicitis.Methods Ninety-two patients with acute appendicitis were randomly divided into two groups,the treatment group（n=52 cases） and the control group（n=40 cases）.The patients in the treatment group were operated through laparoscope and the patients in the control group were operated through laparotomy.The operation time,intraoperative blood loss,postoperative ambulation time,length of stay and wound infection rate were observed.The C-reactive protein（CRP） was detected before and after treatment.Results Among the operation time,intraoperative blood loss,postoperative ambulation time,length of stay and wound infection rate,the treatment was better than the control group（P〈0.05,P〈0.01）.The CRP was decreased after treatment in both groups（P〈0.01） and there was a significant difference between the groups（P〈0.05）.Conclusion The trauma was lower and restoration was quicker in the patients with acute appendicitis through laparoscope.