腹腔镜治疗复杂性阑尾炎的可行性及安全性

Feasibility and Safety of Complicated Appendicitis with the Treatment of Laparoscopic Surgery

目的:对比研究腹腔镜与开腹手术治疗复杂性阑尾炎的临床疗效。方法:将2011-2013年笔者所在医院收治的复杂性阑尾炎患者128例按不同治疗方法分为腔镜组(67例,行腹腔镜手术治疗)和开腹组(61例,行开腹手术治疗),对两组患者术中、术后情况进行综合比较。结果:(1)两组患者手术时间比较差异无统计学意义(P>0.05),两组患者手术切口、术中出血量、肛门排气时间以及住院时间等手术指标比较差异均有统计学意义(P<0.05);(2)腔镜组患者术后出现切口感染、腹腔脓肿、肠梗阻等并发症总发生率(4.48%)明显低于对照组(14.75%)(P<0.05)。结论:腹腔镜手术治疗复杂性阑尾炎具有创伤小、肠道功能恢复快、预后好等优点,临床疗效优于传统开腹手术,值得临床推广应用。

Objective：To contrast study the clinical curative effect of complicated appendicitis with treatment of laparoscopic and open surgery.Method：128 cases of appendicitis patients,admitted to our hospital from 2011 to 2013,they were divided into the peritoneoscope group（67 cases,laparoscopic surgery） and laparotomy group（61 cases,open surgery） according to the different treatment ways,and then comprehensive compared the result of intraoperative and postoperative.Result：（1）The two groups had no statistical significance on the operation time（P〉0.05）,the comparative differences of two groups were statistically significant on the incision,intraoperative blood loss,anal exhaust time and hospital stay operation（P〈0.05）.（2）The total incidence（4.48%） of postoperative incision infection,celiac abscess,intestinal obstruction and other complications in the peritoneoscope group were significantly lower than the control group（14.75%）（P〈0.05）.Conclusion：Laparoscopic surgery shows small trauma,quicker recovery of intestinal function,as well as good prognosis on treatment of complicated appendicitis,and the clinical curative effect is superior to the conventional laparotomy,worthy of clinical popularization and application.