腹腔镜阑尾切除术治疗急性阑尾炎患者临床疗效分析

Clinical effect of laparoscopic appendectomy in the treatment of acute appendicitis

目的探讨腹腔镜阑尾切除术治疗急性阑尾炎的临床效果。方法将2011年6月至2016年6月在我院普外科进行腹腔镜手术治疗的急性阑尾炎患者150例作为研究组,选择同期进行腹腔镜手术治疗的慢性阑尾炎患者150例作为对照组,观察两组患者手术时间、首次排气时间、失血量、进食时间、住院时间等,同时观察两组患者并发症发生情况。结果研究组患者手术时间、首次排气时间、首次进食时间、住院时间均明显长于对照组(P<0.05),而两组患者失血量比较,差异无统计学意义(P>0.05);研究组患者并发症发生率为25.33%(38/150),对照组患者并发症发生率为8.00%(12/150),研究组显著高于对照组(P<0.05)。结论腹腔镜阑尾切除术治疗急性阑尾炎效果确切,但术后并发症发生率高于慢性阑尾炎患者。

Objective To investigate the clinical effect of laparoscopic appendectomy on acute appendicitis. Methods One hundred and fifty cases of patients with acute appendicitis received laparoscopic surgery in our hospital from June 2011 to June 2016 were selected as research group, and 150 cases of patients with chronic appendicitis carried out laparoscopic surgery at the same period were chosen as control group. The operation time, exhaust time, amount of bleeding loss, eating time and hospital stays of the two groups were observed and compared, as well as the incidenle of complications. Results The operation time, exhaust time, eating time, hospital stays of the research group were significantly longer than those of the control group （P〈0.05）, but the difference of bleeding loss between the two groups was not significant （P〉0.05）; the complications incidence rate of the research group was 25.33% （38/150）, which was significantly higher than 8.00% （12/150） of the control group （P〈0.05）. Conclusion Laparoscopic appendectomy for acute appendicitis is safe and feasible, but the incidence rate of complications is higher than that of chronic appendicitis.