腹腔镜与开腹阑尾切除术治疗急性阑尾炎的临床疗效

Clinical Efficacy of Laparoscopic and Open Appendectomy in the Treatment of Acute Appendicitis

目的探讨腹腔镜阑尾切除术(LA)与开腹阑尾切除术(OA)治疗急性阑尾炎(AA)的临床效果,并评价其安全性。方法随机选取2010年1月至2019年3月江苏省老年医院(江苏省省级机关医院)80例符合纳入标准的AA患者根据手术方法的不同分为LA组和OA组,每组40例。观察两组手术效果及术后并发症发生情况。结果LA组在手术时间、住院时间、肠胃功能恢复时间、术中出血量方面与OA组比较,差异均有统计学意义(P<0.05)。LA组术后并发症发生率显著少于OA组,差异有统计学意义(P<0.05)。结论LA与OA相比,具有手术时间短,创伤小,术后恢复快及并发症少的特点,手术安全可靠。

Objective To evaluate the clinical efficacy of laparoscopic appendectomy(LA)and open appendectomy(OA)in the treatment of acute appendicitis(AA),and to evaluate its safety.Methods From January 2010 to March 2019,80 patients with AA who met the inclusion criteria in Jiangsu Provincial Geriatric Hospital(Jiangsu Provincial Hospital)were divided into LA group and OA group according to different surgical methods,40 cases in each group.The effects of surgery and postoperative complications were observed.Results The LA group had statistically significant differences in operative time,hospital stay,recovery time of gastrointestinal function,and intraoperative blood loss compared with OA group(P<0.05).The incidence of postoperative complications in the LA group was significantly lower than that in the OA group,and the difference was statistically significant(P<0.05).Conclusion Compared with OA,LA has the characteristics of short operation time,less trauma,quick recovery and less complications.The operation is safe and reliable.