急性阑尾炎行腹腔镜手术与开腹手术的对比研究

Comparative Study of Laparoscopic Surgery and Open Surgery for Acute Appendicitis

目的 回顾性对比分析腹腔镜阑尾切除术（LA）与开腹阑尾切除术（OA）在治疗急性阑尾炎中的疗效。方法 回顾性分析2012年1月~2015年12月我院收治的急性阑尾炎患者共307例临床资料,其中145例行腹腔镜阑尾切除术（LA组）,162例行开腹阑尾切除术（OA组）,比较两种术式手术时间、术中出血量、术后下床活动时间、术后排气时间、止痛药使用率、切口感染率、平均住院时间及住院费用等指标。结果 LA组术中出血量、术后下床活动时间、术后排气时间、止痛药使用率、切口感染率、平均住院时间与OA组比较,差异有统计学意义（P〈0.05）,两组手术时间比较,差异无统计学意义（P〉0.05）,LA组住院费用高于OA组（P〈0.05）。结论 腹腔镜阑尾切除术治疗急性阑尾炎具有创伤小、恢复快、并发症少和住院时间短等优点,可作为治疗急性阑尾炎的理想选择。

Objective To compare the efficacy of laparoscopic and open appendectomy for acuteappendicitis. Methods From January 2012 to December 2015, acute appendicitis patients in our hospital a total of 307 cases of clinical data were selected, the 145 patients who underwent laparoscopic resection surgery group（LA group）, 162 cases of open appendectomy（OA group）, comparison of two surgical operation time, intraoperative bleeding volume, postoperative bed activity time, postoperative rear gas time, analgesic use rate, wound infection rate, average hospitalization time and cost of hospitalization indicators. Results LA group intraoperative bleeding volume, postoperative bed activity time, postoperative exhaust time, analgesic use rate, wound infection rate, average hospitalization time and OA group, the difference is statistically significant（P0.05）, the operation time of the two groups compared statistically significant（P0.05）, LA group hospitalization cost was higher than that in the OA group（P0.05）. Conclusion Laparoscopic appendectomy for acute appendicitis has the advantages of less trauma, faster recovery, less complications and shorter hospital stay, which can be used as an ideal choice for the treatment of acute appendicitis.