腹腔镜与开腹阑尾切除术的疗效及安全性分析

Analysis of the Efficacy and Safety of Laparoscopic Versus open Appendectomy

目的:探讨腹腔镜阑尾切除术治疗急性阑尾炎的疗效及安全性。方法:回顾性分析2014年6月至2015年6月在我院接受手术治疗的80例急性阑尾炎患者,随机分为观察组(n=40)和对照组(n=40),观察组接受腹腔镜阑尾切除术治疗,对照组则行传统开腹阑尾切除术,对比两组术中及术后恢复情况。结果:观察组手术时间、术中出血量等少于对照组,差异具有统计学意义(P<0.05),术后排气时间、进食时间以及住院天数均短于对照组(P<0.05),差异有统计学意义;切口感染、肠梗阻等并发症少于对照组(P>0.05),但差异均无统计学意义。结论:腹腔镜阑尾切除术具有手术时间短、出血量少、美容效果好,以及术后恢复快等优点,是一种安全可行的术式,值得在各级医院广泛推行。

Objective ：To investigate the efficacy and safety of laparoscopic appendectomy in the treatment of acute appendicitis. Method： Retrospective analysis of 80 patients with acute appendicitis accepted surgical treatment in our hospital from June 2014 to June 2015. Randomly divided into observation group （n= 40） and control group （n = 40）. The observation group was received laparoscopic appendectom, the control group was treated with traditional open appendectomy. Then the operation and postoperative recovery status of the two groups of patients were compared. Result： The operation time and blood loss of the observation group were less than that of the control group （ P 〈 0.05） , postoperative exhaust time, eating time and hospitalization time were shorter than the control group （ P 〈 0.05 ） , and the difference was statistically significant. Wound infection and intestinal obstruction were less than that of the control group （ P 〉 0.05 ） , But the differ- ences were not statistically significant. Conclusion： Laparoscopic appendectomy has the advantages of short operation time, less blood loss, good cosmetic results, and rapid postoperative recovery. It is a safe and feasi- ble operative model, worthy of widespread implementation at all levels of the hospital.