腹腔镜与开腹阑尾切除术的手术效果对照分析

Comparative Analysis of the Effect of Laparoscopic and Open Appendectomy

目的对比分析腹腔镜与开腹阑尾切除术的临床效果差异。方法将2012年1月—2016年6月期间该科室收治100例需要手术治疗的阑尾炎患者,随机分为观察组和对照组,每组患者50例。观察组采用腹腔镜阑尾切除术,对照组采用开腹阑尾切除术,比较两组观察组的手术时间、肠功能恢复所需时间、术后肛门排气时间以及住院治疗时间;术中出血量;需要放置引流管的患者例数;并发症发生率。结果观察组的手术时间(38.2±10.4)min、肠功能恢复所需时间(21.4±8.3)d、术后肛门排气时间(2.0±1.1)d以及住院治疗时间(4.3±1.2)d均显著短于对照组[(65.7±15.6)min、(40.7±10.3)d、(4.5±2.3)d、(8.1±2.4)d];观察组镇痛药使用数为2例,对照组为12例;观察组术中出血量(10.3±7.0)m L显著少于对照组(22.5±9.0)m L,且需要放置引流管的患者例数(1例)少于对照组(6例);观察组并发症发生率为20.0%显著少于对照组(40.0%)(P<0.05)。结论相比于开腹切除术而言腹腔镜切除术在治疗阑尾炎中更具有优势,可以作为临床治疗的首选方法。

Objective To compare the clinical effect of laparoscopic and open appendectomy. Methods During the pe- riod of January to June 2016 2012 our department treated 100 patients need surgical treatment of appendicitis patients randomly divided into observation group and control group, Each group of 50 eases of patients. The observation group used laparoseopie resection, and the control group was treated with open appendectomy, Comparison of two groups were observed, bowel function recovery time needed for the operation time and postoperative anal exhaust time and hospital- ization time. Intraoperative blood loss. Cases patients needing placed drainage tube; The incidence of complications. Results In the observation group operation time, （38.2±10.4）min bowel function recovery time required （21.4±8.3）d, postoperative anal exhaust time（2.0±1.1 ）d and hospitalization time （4.3±1.2）dwere significantly shorter than that of the control group[（65.7±15.6）min, （40.7±10.3）d, （4.5±2.3）d, （8.1±2.4）d]; analgesic use significantly less than the control group; Observation group analgesic use for 2 cases, the control group for 12 cases; Bleeding amount of observation group （10.3±7.0） mL significantly less than the control group （22.5± 9.0） mL, and drainage tube placement of patients eases （1 ease） is less than the control group （6 cases）; Complication rate of 20.0% was significantly less than control group （40.0%）（P〈0.05）. Conclusion Compared with open surgery, laparoscopic resection in the treatment of appen- dicitis has more advantages, it can be used as the preferred method of clinical treatment.