急性阑尾炎经腹腔镜手术与传统开腹手术治疗的临床效果对比分析

Comparative Analysis of Clinical Effects of Laparoscopic Surgery and Traditional Open Surgery for Acute Appendicitis

目的分析急性阑尾炎患者在腹腔镜手术与传统开腹手术治疗中的临床效果对比。方法方便选取2016年1月—2018年1月期间该院急性阑尾炎患者189例(实施信封随机分组模式)。分别给予传统开腹手术、腹腔镜手术治疗,对比2组手术相关指标情况、并发症发生情况、生活质量评分。结果观察组手术时间为(30.12±5.97)min、术中出血量为(15.42±2.22)mL、下床活动时间为(25.57±4.87)h、平均住院时间为(5.54±1.02)d,数据与对照组数据之间进行比较,差异有统计学意义(t=10.550 7,P=0.000 1;t=27.826 1,P=0.000 1;t=36.876 2,P=0.000 1;t=24.240 5,P=0.000 1);观察组并发症发生例数有3例,对照组发生例数有14例,2组数据之间进行比较,差异有统计学意义(χ~2=20.199 2,P=0.000 1);观察组心理功能为(88.45±3.98)分、躯体功能为(89.24±3.35)分、社会功能为(89.98±4.51)分、物质生活为(91.03±3.75)分,数据明显高于对照组,差异有统计学意义(t=26.690 6,P=0.000 1;t=31.695 5,P=0.000 1;t=29.085 1,P=0.000 1;t=34.095 6,P=0.000 1)。结论急性阑尾炎患者在腹腔镜手术治疗中获得了较佳的临床效果,可推广。

Objective To compare the clinical effects of laparoscopic surgery and traditional open surgery in patients with acute appendicitis. Methods A total of 189 patients with acute appendicitis in the hospital from January 2016 to January 2018 were enrolled conveniently. The patients were treated with traditional open surgery and laparoscopic surgery, and the results of the two groups of surgery, complications, and quality of life were compared. Results The operation time of the observation group was （30.12±5.97）rain, the intraoperative blood loss was （15.42±2.22）mL, the time of getting out of bed was （25.57±4.87）h, and the average hospitalization time was （5.54±1.02）d. Compared with the control data, the difference was significant （t=10.550 7, P=0.000 1; t=27.826 1, P=0.000 1; t=36.876 2, P=0.000 1; t=24.240 5 , P=0.000 1）; There were 3 cases of complications in the observation group and 14 cases in the control group. There were significant differences between the two groups. The （X^2=20.199 2, P=0.000 1）; The psychological function of the observation group was （88.45±3.98） points, the body function was （89.24±3.35）points, the social function was （89.98±4.51）points, and the material life was （91,03±3,75）points. The data was significantly higher than the control group（t=26.690 6, P=0.000 1; t=31.695 5, P=0.000 1; t=29.085 1, P=0.000 1; t=34.095 6, P=0.000 1）. Conclusion Patients with acute appendicitis have obtained better clinical results in laparoscopic surgery and can be promoted.