腹腔镜手术治疗急性阑尾炎的临床疗效

Comparative Study of Laparoscopic Appendectomy in Appendicitis

目的对比传统阑尾切除术与腹腔镜下阑尾切除术的手术效果及优缺点。方法对2016年3月~2017年7月行阑尾炎切除术患者176例。分为OA组[经腹阑尾切除术(open appendectomy,OA)]和LA组[腹腔镜阑尾切除术(laparoscopic appendectomy,LA)],每组各88例。比较两组患者的手术时间,术后排气时间,并发症发生率,住院时间,住院费用,治疗效果。结果两组患者手术均成功治愈(100%);LA组在手术时间(45±3.6 min)、住院费用(11000±76元)均高于OA组(25±2.2 min)、(8500±54元),有显著的统计学差异(P<0.05);LA组术后排气时间(30±1.5h)、住院时间(3±0.9d)均低于OA组(48±2.1h)、(7±1.2d),差异有统计学意义(P<0.05);并发症发生率LA组(1.1%)vs OA(6.8%),差异有统计学意义(P<0.05)。结论两组手术对阑尾切除术均有效,且LA手术具有手术创伤小,术后恢复快,住院时间短,并发症发生率低的优势。

To comparison the effect,advantage and disadvantage of laparoscopic appendectomy and operative appendectomy in appendicitis.Methods:Totally,176 patients undergoing appendectomy from March 2016 to July 2017 were selected as the objects of study,88 patients undergoing operative appendectomy were selected as A group,while 88 patients undergoing laparoscopic appendectomy were selected as B group.The operation time,passage of gas by anus,complication rate,hospitalized time,hospitalized expense,and treatment results were compared between the two groups.Results:Operations of all patients were successful(100%).The operation time,hospitalized expense in Bgroup were significantly higher than those in A group[(45±3.6 min)vs.(25±2.2)],[(11000±76 RMB)vs.(8500±54 RMB)],respectively.However,the passage of gas by anus,hospitalized time in B group were significantly lower than those in A group[(30±1.5 min)vs.(48±2.1min)],[(3±0.9 min)vs.(7±1.2 min)],respectively.The rate of complications in B group(1.1%)was significantly lower than that in A group(6.8%)(P<0.05).Conclusions:Laparoscopic appendectomy with less trauma,quicker recovery,shorter hospitalized time,lower complication rate advantages,compared with operative appendectomy has its obvious advantages.