急性阑尾炎患者采用小切口阑尾切除治疗的临床观察

Clinical Observation of Small Incision Appendectomy in Patients with Acute Appendicitis

目的:分析急性阑尾炎患者采用小切口阑尾切除治疗的临床效果。方法:选取2013年6月-2015年12月在本院外科收治的50例急性阑尾炎患者,按照手术方式不同分为两组,每组各25例,观察组患者接受小切口阑尾切除术,对照组患者接受常规开放手术,比较两组的治疗效果。结果:观察组切口长度、手术时间、术中出血量少于对照组,术后疼痛VAS评分较对照组低,肛门排气时间、下床时间及住院时间短于对照组,并发症发生率低于对照组16.00%,两组比较差异均有统计学意义(P<0.05)。结论:小切口阑尾切除术治疗急性阑尾炎效果显著,安全可靠。

Objective： To analyze the clinical effect of small incision appendectomy in patients with acute appendicitis. Method： From June 2013 to December 2015, 50 cases with acute appendicitis in our hospital were selected, according to the different surgical methods they were divided into two groups, 25 cases in each group, the observation group received small incision appendectomy, control group received routine open surgery, the clinical effects of two＇ groups were compred.Result： The incision length, operative time and bleeding volume of observation group were less than that in the control group, postoperative VAS pain scores of observation group were lower than the control group, the anal exhaust time, bed time and hospitalization time of observation group was shorter than the control group, the complication rate of observation group was lower than control group of 16.00%, the differences were statistically significant （ P〈0.05 ） .Conclusion： The effect of small incision appendectomy in the treatment of acute appendicitis is significant, safe and reliable.