坏疽穿孔性阑尾炎腹腔镜治疗的探讨

Discussion on Laparoscopic Appendectomy in Treatment of Gangrenous and Perforated Appendicitis

目的探讨腹腔镜治疗坏疽穿孔性阑尾炎的临床应用。方法总结我科实施手术的坏疽穿孔性阑尾病例64例,开放手术者32例,腹腔镜下完成32例。通过回顾性分析探讨腹腔镜在治疗坏疽穿孔性阑尾炎的作用。结果与接受开放手术的患者相比,接受腹腔镜治疗的患者住院天数短,术后感染率低(P<0.05),而两组患者费用、手术时间的差异无统计学意义(P>0.05)。结论腹腔镜治疗坏疽穿孔性阑尾炎效果优于开放手术。

Objective To discuss the clinical application of laparoscopic appendectomy in gangrenous and perforated appendicitis.Methods The data of 64 cases of gangrenous and perforated appendicitis patients were reviewed, and 32 cases were treated with laparoscopic appendectomy and others were treated with open appendectomy. The role of laparoscopy in the treatment of gangrene perforated appendicitis were retrospective analysis.Results Compared with open surgery, laparoscopy can obviously decrease hospitalization days and postoperative infection （P〈0.05）, and the costs, operation time were not signiifcant difference （P〉0.05）.Conclusion Laparoscopic treatment of gangrene perforating appendicitis has better effect than open surgery, and can provide a reference for the clinical.