腹腔镜和开腹手术治疗阑尾炎的手术效果对比

Comparison of surgery effect of laparoscopic and open surgery for appendicitis

目的：探讨腹腔镜与开腹阑尾切除术治疗阑尾炎的治疗效果。方法：选取2013~2015年我院收治急、慢性阑尾炎患者80例,并将其分为实验组34例和对照组46例,实验组患者采用腹腔镜阑尾切除术,对照组患者采用传统开腹阑尾切除术,分析对比两组患者的治疗效果。结果：实验组和对照组的手术时间分别为（57.5±12.0）min和（50.3±13.0）min;出血量分别为（11.6±4.3）ml和（16.7±5.4）ml;术后肛门排气时间分别为（23.9±5.0）h和（34.3±5.3）h;住院时间分别为（5.5±1.3）d和（6.9±1.6）d,两组比较差异有统计学意义（P〈0.05）。结论：腹腔镜阑尾切除术具有术后恢复快、创伤小、并发症少等优点,体现出腹腔镜在阑尾炎手术治疗中的意义。

Objective： To evaluate the curative effect of laparoscopic and open appendectomy appendicitis treatment. Methods： 80 patients with acute and chronic appendicitis from 2013 ~2015 admitted in our hospital were selected, and divided into the experimental group 34 cases and control group 46 cases.The patients of experimental group were treated by laparoscopic appendectomy, the control group were treated by traditional open appendectomy treatment. The therapeutic effect of patients in the two groups were analyzed. Results： The operating time of the experimental group and the control group were（57.5±12.0）min and（50.3±13.0）min, respectively. The bleeding volume of the experimental group and the control group were（11.6±4.3）ml and（16.7± 5.4）ml, respectively, postoperative anal exhaust time（23.9±5.0）h and（34.3±5.3）h,length of hospital stay（5.5±1.3）d and（6.9 ±1.6）d. Comparing the two groups, statistics difference was found（P 0.05）. Conclusion： Laparoscopic appendectomy has quick recovery, small trauma, less complications, reflects the significance of laparoscopic in surgical treatment for appendicitis.