不同阑尾切除术在老年人群中的疗效评价

Different curative effect evaluation in appendix resection in the elderly population

目的比较老年人群接受腹腔镜阑尾切除术与开腹阑尾切除术两种不同手术方法的临床效果。方法选择2014年1月至2016年10月我院收治的300例急性阑尾炎老年患者为研究对象,根据手术方法不同分为腹腔镜组160例(腹腔镜阑尾切除术患者)和开腹组140例(开腹阑尾切除术患者)。比较两组患者手术时间和切口长度,术后随访并记录住院时间、感染情况、恢复正常活动时间等。结果腹腔镜组手术时间、切口长度、住院时间、感染和恢复正常活动时间,均显著短于对照组患者,差异均有统计学意义(P<0.001)。术后两组患者均未出现腹腔出血、阑尾残株炎、粪瘘症状,手术过程顺利。结论腹腔镜下行阑尾切除术手术时间短、伤口小、术后恢复快。

Objective To evaluate laparoscopic appendectomy and open appendectomy in the efficacy and safety of older population.Methods From January 2014 to October 2014,300 cases of acute appendicitis old patients as the research object in our hospital treated,according to different surgical treatments,so patients were divided into 160 patients with laparoscopic appendectomy（ laparoscopic appendectomy group）,140 patients with open appendectomy（ open appendectomy group）. Compared the operation time,length of incision,postoperative follow-up and record the length of time,infections,time to return to normal activities. Results The difference in operation time,incision length of laparoscopic appendectomy and open appendectomy groups had statistical significance（ P〈0.01）. The postoperative hospital stay,infections,return to normal activity time comparison of two groups were compared,the difference was statistically significant（ P〈0.01）. There were no symptoms such as abdominal bleeding,residual appendicitis and fecal hemorrhoids in the two groups,and the operation was successful.Conclusions Laparoscopic appendectomy has the advantages of short operation time,small wound and quick recovery.