比较分析腹腔镜手术与开腹手术治疗急性阑尾炎的临床效果

目的对比分析腹腔镜手术与开腹手术治疗急性阑尾炎的临床效果。方法将本院2016年4月至2017年4月收治的82例急性阑尾炎患者视为观察对象，基于患者所选择的治疗方式，分为腹腔镜组与开腹组(n=41)。腹腔镜组行腹腔镜手术，开腹组行开腹手术治疗，比较2组患者的术中出血量、术后胃肠功能恢复时间、下床活动时间以及患者的并发症发生率。结果与开腹组患者相比，腹腔镜组患者的术中出血量相对较少，术后胃肠功能恢复时间与下床活动时间相对较短，组间差异对比具有统计学意义(P＜0.05)。同时，腹腔镜患者的并发症发生率为2.44%，开腹组患者的并发症发生率为14.63%，数据比较具有统计学价值(P＜0.05)。结论相较于开腹手术治疗的方式，腹腔镜手术治疗急性阑尾炎的效果更加理想，具有创伤小、恢复快以及并发症发生率较低等特点，为当前临床治疗中安全有效的急性阑尾炎治疗方式。

Objective:To analysis clinical effect of laparoscopic surgery and open surgery in the treatment of acute appendicitis.Methods:From April2016to April2016at our hospital treated82cases of patients with acute appendicitis as analysis object,based on the choice of treatment,patients with into laparoscopy and laparotomy group(n=41).Laparoscopic group of laparoscopic surgery,laparotomy group line open operation treatment,compared two groups of patients with intraoperative blood loss,postoperative gastrointestinal function recovery time,bed activity time and complications of patients.Results:Compared with the open group of patients,patients with laparoscopic group relatively few intraoperative blood loss,postoperative gastrointestinal function recovery time and bed activity time is relatively short,contrast differences between groups with statistical significance(P<0.05).At the same time,the complications of laparoscopic patients was2.44%,the open group of patients with complication rate was14.63%,the data to compare the value of statistically(P<0.05).Conclusion:Compared with open surgery,laparoscopic surgery for the treatment of acute appendicitis effect is more ideal,with little trauma,quick recovery and complication rate is relatively low,for the safe and effective in clinical treatment of acute appendicitis treatment.