腹腔镜与传统阑尾术对非穿孔急性阑尾炎临床效果比较

Comparison of Clinical Effects of Laparoscopic Appendectomy and Traditional Appendectomy for Non-perforated Appendicitis

目的探讨腹腔镜与传统阑尾切除术两种手术方法对非穿孔性急性阑尾炎的临床治疗效果。方法选取入住我院普外科的诊断为急性阑尾炎的患者共72例作为研究对象,将其随机分为腹腔镜切除术组(LA组)和传统开腹阑尾切除术组(OA组),观察并比较两组患者术中、术后情况,包括手术时间、出血量、术后肠功能恢复时间以及住院天数、住院费用。结果 LA组的手术时间、肠功能恢复时间均短于OA组,差异具有统计学意义(P<0.05);LA组术中出血量少于OA组,差异具有统计学意义(P<0.05);LA组的住院时间短于OA组(P<0.05);两组患者的住院费用比较,差异不具有统计学意义(P>0.05)。结论与传统开腹手术比较,腹腔镜阑尾切除术能够改善患者术中术后情况,缩短住院天数。

Objective To compare the clinical effects of laparoscopic and conventional appendectomy for appendicitis.Methods A total of 72 patients diagnosed with acute appendicitis in the department of general surgery in our hospital were selected as the research subjects.The patients were randomly divided into laparoscopic excision group(group LA)and traditional open appendectomy group(group OA).The two groups were observed and compared during and after operation,including the operation time,the amount of bleeding,the recovery time of intestinal function after operation,the days of hospitalization and the cost of hospitalization.Results The operation time and the recovery time of intestinal function in group LA were shorter than that in group OA,and the difference was statistically significant(P<0.05).The amount of bleeding in group LA was less than that in group OA,and the difference was statistically significant(P<0.05).The time of hospitalization in group LA was shorter than that in group OA(P<0.05).The difference between the two groups was not statistically significant(P>0.05).Conclusion Compared with OA,LA can improve the clinical effects during operation and after operation,,also shortened the time of hospital stay.