急性阑尾炎行腹腔镜手术与开腹手术治疗临床分析

Clinical analysis on the treatment of acute appendicitis with laparoscopic operation and open appendectomy

目的探讨腹腔镜阑尾切除术与开腹手术治疗急性阑尾炎的临床疗效。方法回顾性分析2014年1—12月我院行腹腔镜阑尾切除术(LA组)71例和同期行开腹阑尾切除术(OA组)77例的急性阑尾炎患者的临床资料,进行比较分析两种术式手术时间、术后排气时间、术后住院时间、综合费用及术后并发症率等方面差异。结果 LA组与OA组相比,其术后排气时间、术后住院时间、综合费用及并发症发生率均有统计学差异(P<0.05)。结论腹腔镜阑尾切除术具有创伤小、恢复快、住院时间短和并发症发生率低等临床优势,值得推广。

Objective To compare the efficacy of Laparoscopic Appendectomy（LA） and open Appendectomy（OA） for acute appendicitis.Methods From January 2014 to December 2014,the acute appendicitis clinical data of 71 cases of laparoscopic appendectomy（LA） and 77 cases of open appendectomy（OA） were analyzed.The operating time,postoperative discharge time,hospitalization time,comprehensive charges and the incidence of complications of the two groups were compared.Results Through the comparison,LA group wassignificantly superior to OA group except the operating time（P 〈 0.05）.Conclusions Laparoscopic appendectomy hasthe advantages such as less trauma,faster recovery,shorter hospital staying time and lower complicationsin the treatment of acute appendicitis,LA is worth recommending for the treatment of acute appendicitis.