腹腔镜阑尾切除术治疗急性阑尾炎的临床效果

Clinical effect of laparoscopic appendectomy in the treatment of acute appendicitis

目的探究和分析腹腔镜阑尾切除术治疗急性阑尾炎的临床效果。方法选择我院收治的90例急性阑尾炎患者作为研究对象,按照随机数字表法将其分为观察组和对照组,各45例。观察组患者行腹腔镜阑尾切除术,对照组患者行传统开腹阑尾切除术。比较两组患者的临床指标、并发症情况和治疗效果。结果观察组患者的手术时间和住院时间均显著短于对照组,术中出血量显著少于对照组,差异具有统计学意义(P<0.05)。观察组患者的治疗总有效率为95.56%,明显高于对照组患者的84.44%,差异显著(P<0.05)。观察组患者的术后并发症总发生率为4.44%,低于对照组的17.78%,差异显著(P<0.05)。结论腹腔镜阑尾切除术能够显著缩短急性阑尾炎患者的手术时间和住院时间,减少术中出血量,提高临床治疗效果,值得临床推广。

Objective To explore and analyze the clinical effect of laparoscopic appendectomy in the treatment of acute appendicitis.Methods Ninety patients with acute appendicitis in our hospital were selected as the research objects and divided into observation group and control group according to the random number table method, with 45 cases in each group. The patients of the observation group were treated with laparoscopic appendectomy, while the patients of the control group were treated with traditional open appendectomy. The clinical indicators, complications and therapeutic effects were compared between the two groups.Results The operative time and hospital stay in the observation group were significantly shorter than those in the control group, the amount of intraoperative blood loss was significantly less than that in the control group（P〈0.05）. The total effective rate of treatment in the observation group was 95.56%, which was significantly higher than 84.44% in the control group, the difference was statistically significant（P〈0.05）. The total incidence of postoperative complications in the observation group was 4.44%, which was lower than 17.78% in the control group, the difference was statistically significant（P〈0.05）.Conclusion Laparoscopic appendectomy in the treatment of patients with acute appendicitis can significantly shorten the operation time and hospital stay, reduce intraoperative blood loss, and improve clinical therapeutic effect, which is worthy of clinical promotion.