腹腔镜阑尾切除术在急性阑尾炎治疗中的疗效分析

Analysis of Laparoscopic Appendectomy in the Treatment of Acute Appendicitis

目的 探析腹腔镜阑尾切除术治疗急性阑尾炎的临床效果。方法选取我院2015年1月-2016年7月收治的80例急性阑尾炎患者,均采取腹腔镜进行手术治疗,观察并记录本组手术时间、出血量、肛门排气时间、下床活动时间、住院时间及并发症发生情况等。结果 80例患者均成功完成手术,其平均手术时间为（60.3±14.7）min、平均术中出血量为（5.7±1.3）ml、肛门排气时间（24.0±2.1）h、下床活动时间（11.7±2.6）h及住院时间（4.3±1.0）d;80例患者,1例术后切口感染,发生率1.25%。结论 腹腔镜阑尾切除术治疗急性阑尾炎优势明显,易探查,有诊疗双重作用,并发症少,创伤小,恢复快速,可作为首选方案。

Objective To study the clinical effect of laparoscopic appendectomy in the treatment of acute appendicitis. Methods 80 cases of patients with acute appendicitis admitted in our hospital from January 2015 to July 2016 were treated with laparoscopic surgery. The operation time, blood loss, anal exhaust time, ambulation time, hospitalization time and occurrence of complications were recorded and recorded. Results The mean operative time was（60.3 ± 14.7） min, the mean blood loss during the operation was（5.7 ± 1.3） ml, the duration of anal exhaust was（24.0 ± 2.1） h, the time of ambulation was（11.7 ± 2.6） h and hospital stay（4.3 ± 1.0） days, respectively. In 80 patients, 1 patient developed incisional wound infection with an incidence of 1.25%. Conclusion Laparoscopic appendectomy for the treatment of acute appendicitis has obvious advantages, easy exploration, diagnosis and treatment of dual role, fewer complications, trauma, rapid recovery, can be used as the preferred option.