腹腔镜与开腹手术治疗急性阑尾炎的临床对比分析

Clinical comparative analysis of laparoscopic and open surgery in the treatment of acute appendicitis

目的:探讨腹腔镜与开腹手术治疗急性阑尾炎的临床应用效果及安全性。方法:收治急性阑尾炎患者136例,平分两组。研究组行腹腔镜手术治疗,对照组行开腹手术治疗,比较两种术式的优越性。结果:研究组的术中出血量、住院时间、术后肠道排气时间等指标优于对照组;但研究组的住院费用显著高于对照组,差异有统计学意义(P<0.05);对照组并发症发生率8.82%,研究组2.94%,两组并发症发生率比较,差异有统计学意义(P<0.05)。结论:腹腔镜手术的创口小、术中出血量少、愈合时间短、并发症发生率低,在急性阑尾炎的治疗中优势更明显。

Objective:To explore the clinical effect and safety of laparoscopic and open surgery in the treatment of acute appendicitis.Methods:136 patients with acute appendicitis were selected.They were divided into the two groups on average.The study group underwent laparoscopic surgery.The control group was treated with open surgery.We compared the advantages of the two surgical methods.Results:The amount of blood loss,hospital stay and postoperative intestinal exhaust time in the study group were better than those in the control group.But the cost of hospitalization in the study group was significantly higher than that in the control group,and the difference was statistically significant(P<0.05).The complication rate of the control group was 8.82%,and that of the study group was 2.94%;there were significant differences in the incidence of complications between groups(P<0.05).Conclusion:Laparoscopic surgery has advantages of less wound,less bleeding during operation,shorter healing time and lower complication rate,and has more obvious advantages in the treatment of acute appendicitis.