腹腔镜下阑尾切除术(LA)与传统阑尾切除术(OA)治疗阑尾炎的临床效果比较

Clinical Effect Comparison of Laparoscopic Appendectomy (LA) and Traditional Appendectomy (OA) in the Treatment of Appendicitis

目的:探讨阑尾炎采用传统阑尾切除术(OA)与腹腔镜下阑尾切除术(LA)治疗的效果差异。方法:将2016年6月~2018年1月收治的76阑尾炎患者随机分为两组,A组采用OA治疗,B组采用LA治疗,比较两组的手术治疗效果。结果:两组的手术时间对比差异不明显(P>0.05);B组术中出血量、术后肠胃功能恢复时间、下床活动时间、住院时间与并发症发生率明显少于A组,组内比较差异有统计学意义(P<0.05)。结论:阑尾炎采用腹腔镜下阑尾切除术治疗,能促进患者肠胃功能恢复,缩短患者下床活动时间,有利于患者早日康复。

Objective:To investigate the effect of appendectomy(OA)and laparoscopic appendectomy(LA)in the treatment of appendicitis.Methods:76 appendicitis patients admitted from June 2016 to January 2018 were randomly divided into two groups,group A was treated with OA,and group B was treated with LA,and the effect of the two groups was compared.Results:The difference of operation time in the two groups was not significant(P>0.05).The amount of bleeding in the group B,the recovery time of postoperative gastrointestinal function,the time of bed activity,the time of hospitalization and the incidence of complications were significantly less than those in the group A,and the difference was statistically significant(P<0.05).Conclusion:Appendectomy treated by laparoscopic appendectomy can promote the recovery of gastrointestinal function and shorten the ambulation time of patients,which is conducive to the early recovery of patients.