穿孔性阑尾炎应用开腹与腹腔镜阑尾切除术治疗的临床效果

Clinical effects of laparotomy and laparoscopic appendectomy on perforated appendicitis

目的比较穿孔性阑尾炎应用开腹与腹腔镜阑尾切除术治疗的临床效果。方法抽取至我院就诊的穿孔性阑尾炎患者90例作为研究对象,依照入院时间的次序将患者分为试验组和常规组,各45例。常规组采取开腹手术治疗,试验组采取腹腔镜阑尾切除术治疗。比较两组手术情况与术后并发症发生率。结果试验组手术时间长于常规组,住院时间、下床活动时间及术后排气时间明显短于常规组(P<0.05)。试验组术后并发症总发生率明显低于常规组(P<0.05)。结论对穿孔性阑尾炎患者采取腹腔镜阑尾切除术效果显著,可降低术后并发症发生率,缩短住院时间,对患者造成的创伤较小,值得采纳。

Objective To compare the clinical effects of laparotomy and laparoscopic appendectomy on perforated appendicitis. Methods A total of 90 patients with perforative appendicitis treated in our hospital were selected as the study objects,and divided into experimental group and conventional group according to the order of admission time, with 45 cases in each group. The conventional group was treated with laparotomy appendectomy, while the experimental group was treated with laparoscopic appendectomy. The surgery indexes and incidence of postoperative complications of the two groups were compared. Results The operation time of the experimental group was longer than that of the conventional group, and the hospitalization time, the time of getting out of bed and postoperative exhaust time were significantly shorter than those of the conventional group（P〈0.05）. The total incidence of postoperative complications in the experimental group was significantly lower than that in the conventional group（P〈0.05）. Conclusion Laparoscopic appendectomy applied in perforated appendicitis has significant effect, it can to reduce the incidence of postoperative complications, can shorten hospitalization time and less trauma to the patients, it＇s worthy of adopting.