腹腔镜阑尾切除术与开腹阑尾切除术的临床疗效对比

Comparison of clinical effect between laparoscopic appendectomy and open appendectomy

目的:探讨腹腔镜阑尾切除术的临床疗效。方法:2016年5月-2018年5月收治阑尾炎患者120例,随机分为开腹阑尾切除术组和腹腔镜阑尾切除术组各60例。比较两组临床疗效。结果:腹腔镜阑尾切除术组和传统阑尾切除术组均手术成功,但腹腔镜阑尾切除术组术后进食时间、平均住院时间、术后切口感染和脂肪液化情况均优于开腹阑尾切除术组。结论:腹腔镜阑尾切除术创伤小,不污染手术切口,术后恢复快,患者术后切口并发症少。

Objective:To explore the operative method and clinical effect of laparoscopic appendectomy(LA).Methods:120 patients with appendicitis were selected from May 2016 to May 2018,they were randomly divided into the open appendectomy group and the laparoscopic appendectomy group with 60 cases in each group.We compared clinical efficacy between the two groups.Results:Both the laparoscopic appendectomy group and the traditional appendectomy were successful.The eating time and average hospitalization time in the laparoscopic appendectomy group were better than those in the open appendectomy group,the postoperative incision infection and fat liquefaction were better than those in the open appendectomy group.Conclusion:Laparoscopic appendectomy has less trauma,does not contaminate the surgical incision,recovers quickly after surgery,and has fewer postoperative incision complications.