腹腔镜手术和开腹手术在穿孔性阑尾炎患者中的疗效及安全性观察

Efficacy and safety of laparoscopic surgery and laparotomy in perforated appendicitis

目的:观察腹腔镜手术和开腹手术在穿孔性阑尾炎患者中的疗效及安全性。方法:选取100例穿孔性阑尾炎患者,按照随机数表法分为对照组和研究组,每组50例,对照组行开腹阑尾切除术治疗,研究组行腹腔镜手术治疗。结果:研究组在术后10 h、20 h、30 h的VAS评分均明显低于对照组(P<0.05);术后研究组的CRP、PCT、IL-6的水平均明显低于对照组(P<0.05);研究组术后不良反应总发生率明显低于对照组(P<0.05)。结论:腹腔镜手术治疗穿孔性阑尾炎具有创伤小、安全性高的显著优势,利于患者恢复。

Objective To observe efficacy and safety of laparoscopic surgery and laparotomy in patients with perforated appen-dicitis. Methods： 100 cases of perforated appendicitis were selected and randomly divided into two groups, 50 cases in each group.The control group underwent open appendectomy, while the study group was given laparoscopic surgery treatment. Results： The VASscores of the study group 10h, 20h and 30h after the operation were lower than those of the control group （P〈0. 05）. The levels ofCRP, PCT and IL-6 in the study groupafter the operation were much lower than those in the control group （P〈0. 05）. Further, thepostoperative adverse reaction incidence of the study group was lower than those of the control group （P〈0. 05）. Conclusions： Laparo-scopic surgery in the treatment of perforated appendicitis is less invasive and safe, and can promote the patients＇ rehabilitation.