腹腔镜手术与开腹手术治疗穿孔性阑尾炎的疗效对比

Curative Effect Comparison between Laparoscopic Appendectomy and Open Appendectomy on Perforated Appendicitis

目的探讨腹腔镜手术与开腹手术对穿孔性阑尾炎的临床治疗效果。方法选取我科2012年4月—2014年4月收治的130例穿孔性阑尾炎患者作为研究对象,随机分为对照组与观察组,每组各65例;对照组患者采用开腹手术治疗,观察组患者采用腹腔镜手术治疗,对比两组患者的临床疗效。结果两组患者的手术时间比较无明显差异(P>0.05);观察组患者的住院时间、肛门排气时间较对照组显著缩短(P<0.05);观察组患者的术后疼痛评分较对照组明显降低(P<0.05);观察组患者术后并发症发生率为4.6%,较对照组的并发症发生率18.5%显著降低(P<0.05)。结论腹腔镜手术治疗穿孔性阑尾炎对患者的创伤小、术后恢复快、并发症少,值得推广应用。

Objective To discuss the clinical effects of laparoscopic appendectomy（LA） and open appendectomy（OA） on perforated appendicitis. Methods 130 cases with perforated appendicitis hospitalized in the period from April, 2012 to April, 2014 were selected and randomly divided into 2 groups： control group and observation group, 65 cases in each; OA was performed on the cases in control group while LA was performed on the cases in observation group; the clinical effects in the 2 groups were compared. Results There existed no obvious difference in operation time between the 2 groups（P〈0.05）; the duration of hospitalization and the starting time of anus exhaust of the cases in observation group were much shorter than those of the cases in control group（P〈0.05）; postoperative pain scores of the cases in observation group were much lower than those of the cases in control group（P〈0.05）; the occurrence of postoperative complications in observation group was 4.6%, obviously lower than that in control group（18.5%）（P〈0.05）. Conclusions LA leads to smaller wound, quicker recovery and less postoperative complications in cases with perforated appendicitis, and it is worthy of wider clinical application.