腹腔镜和开放阑尾切除术治疗急性阑尾炎的临床对比研究

Clinical Comparative Study on Laparoscopic and Open Appendectomy in Patients with Acute Appendicitis

目的：根据临床资料对腹腔镜和开放阑尾切除术的效果进行评估。方法记录2013年1月～2013年12月行阑尾切除术患者病历资料。评估病人的一般资料，手术时间，住院天数，镇痛药的用量，术后疼痛视觉模拟评分和术后并发症。结果241例病人中有120例行开放手术，121例行腹腔镜手术。两组手术时间类似。开放组疼痛视觉模拟评分在1 h，6 h，12 h评估时更高，且止痛药的总用量也更高。在总并发症发生率方面两组间差异没有统计学意义。结论腹腔镜阑尾切除术是治疗急性阑尾炎的金标准手术方法。

Objective To evaluate the outcomes of laparoscopic versus open appendectomy with current clinic data.Methods Between January 2013 and December 2013, the data of the patients who had appendectomy were recorded prospectively. Patients＇ general data, duration of procedure, length of hospital stay, need of analgesics, postoperative visual analogue scale scores and postoperative complications were assessed.Results Of 241 patients, 120 underwent open and 121 laparoscopic appendectomy. The operating time was similar for both groups. The visual analog scale scores of 1st, 6th and 12th hours were higher in open appendectomy group. The total need of analgesics was signifi cantly higher in open group. There was no statistical difference in terms of overall incidence of postoperative complications between open and laparoscopic appendectomy groups. Conclusion It should be considered as the gold standard for surgical treatment of acute appendicitis.