腹腔镜阑尾切除术治疗急性阑尾炎患者临床分析

Clinical Analysis of Laparoscopic Appendectomy for Patients With Acute Appendicitis

目的分析腹腔镜阑尾切除术治疗急性阑尾炎患者的临床效果及安全性。方法回顾性分析64例行腹腔镜阑尾切除术治疗的急性阑尾炎患者的临床资料,分析本组患者的手术治疗、术后康复及并发症发生情况。结果本组患者均顺利完成切除阑尾,术中无严重并发症、死亡病例及中转开腹病例,手术时间、术后排气时间、术后禁食时间、住院时间、切口长度均较短,术中出血量较少,无异常;术后无切口感染、肠粘连、术后瘢痕等严重并发症发生,疼痛发生率为7.81%(5/64);随访预后良好,无病情复发病例。结论腹腔镜阑尾切除术治疗急性阑尾炎具有临床可行性,效果确切,且并发症发生少、术后康复快、安全性较高,可能与该术的创伤性较小密切相关。

Objective To analyze the clinical effect and safety oflaparoscopic appendectomy for patients with acute appendicitis. Methods The clinical data of 64 patients with acute appendicitis treated by laparoscopic appendectomy were retrospectively analyzed. The operative treatment, postoperative rehabilitation and complications were analyzed. Results All patients were successfully completed appendectomy, no serious complications and death cases and cases of laparotomy during operation, operation time, postoperative exhaust time, postoperative fasting time, hospitalization time, incision length was shorter, less bleeding, no obvious abnormality; no occurrence serious complications such as wound infection, intestinal adhesion, or scar. The incidence rate of postoperative pain was 7.81% （5/64）; good prognosis, no relapse case. Conclusion Laparoscopic appendectomy for acute appendicitis is feasible and effective, with fewer complications, faster postoperative recovery and higher safety, which may be closely related to the less traumatic operation.