开腹阑尾切除与腹腔镜阑尾切除的对比研究

Comparative study of laparoscopic appendectomy resection and open appendectomy

目的对比腹腔镜下阑尾切除术与开腹阑尾切除术治疗急性阑尾炎的临床效果。方法抽选2016年7月—2017年7月期间在我院接受手术治疗的50例急性阑尾炎患者,随机分为传统组和腔镜组。传统组25例患者行传统开腹阑尾切除术,腔镜组25例患者行腹腔镜下阑尾切除术,对比2组手术时间、术中出血量、术后胃肠功能恢复时间,粘连性肠梗阻、切口感染、残余脓肿等并发症发生率。结果腔镜组患者的手术时间、术中出血量、术后胃肠功能恢复时间少于传统组,粘连性肠梗阻、切口感染、残余脓肿等并发症发生率低于传统组,差异均有统计学意义(P<0.05)。结论腹腔镜下阑尾切除术能够有效缩短手术时间,同时对患者创伤小,术后恢复快、并发症发生率低,具有临床推广价值。

Objective To explore the clinical effect of laparoscopic appendectomy and traditional open appendectomy treatment in patients with acute appendicitis. Methods 50 cases of acute appendicitis received appendectomy in our hospital during July 2016 to July 2017 were selected as research sample. The test samples of all individuals were randomly divided into conventional group and laparoscopic group. Traditional group of 25 patients underwent traditional open appendectomy,laparoscopic group of 25 patients underwent laparoscopic appendectomy,the operation time,intraoperative blood loss,postoperative gastrointestinal function recovery time,adhesive intestinal obstruction,incision Infection,residual abscess and other research indicators were compared between groups. Results The indexes of operation time,intraoperative blood loss,postoperative gastrointestinal function recovery time,adhesive intestinal obstruction,incision infection and residual abscess were all better than the traditional group in clinical diagnosis and evaluation,The difference was statistically significant（P〈0.01）.The incidence of postoperative complications in the traditional group was 32.00%,which was significantly higher than that in the endoscopic group4.00%,and the difference between the two groups was statistically significant（χ-2=6.64,P=0.010）.Conclusion Laparoscopic appendectomy can effectively shorten the operation time,and has the advantages of small trauma,rapid postoperative recovery,low incidence of complications,and it has clinical practicability.