成人急性阑尾炎腹腔镜切除术与开腹手术治疗效果和安全性对比观察

A Comparative Study on the Efficacy and Safety between Laparoscopic and Open Surgery for Adult Acute Appendicitis

目的:对比观察对成人急性阑尾炎患者使用开腹手术与腹腔镜切除术的治疗效果与安全性。方法:共对100例患者进行观察,来自于2015年1月-2018年12月在本医院接受手术治疗的患者,根据手术方式将所有对象分成两组,即对照组(n=45,传统开腹手术)与试验组(n=55,腹腔镜切除术)。观察并对比两组患者的手术相关指标、并发症情况与免疫功能指标。结果:相比于对照组,试验组患者的各项手术相关指标与并发症发生率均更低,差异均有统计学意义(P<0.05);与手术前相比,两组患者手术后的各项免疫功能指标均更高,且对照组比试验组高,差异均有统计学意义(P<0.05)。结论:相比于传统开腹手术,使用腹腔镜切除术治疗成人急性阑尾炎的治疗效果更为理想,各项手术指标更加优异,安全性高,患者术后出现并发症的概率更低,且对免疫功能的影响更小,应在临床广泛推广。

Objective:To compare the efficacy and safety of laparotomy and laparoscopic appendectomy in adult patients with acute appendicitis.Method:A total of 100 patients were observed.From January 2015 to December 2018,all the patients were divided into two groups according to the differences of operation methods,the control group(n=45,traditional open surgery)and the experimental group(n=55,laparoscopic resection).Observe and compare the operation related indexes,complications and immune function indexes of the two groups.Result:Compared with the control group,the operation related indexes and the incidence of complications in the experimental group were lower,differences were significant(P<0.05).Compared with the before operation,the immune function indexes in the two groups were higher,and the control group was higher than the experimental group,differences were significant(P<0.05).Conclusion:Compared with the traditional open surgery,laparoscopic surgery for adult acute appendicitis is more effective,with more excellent surgical indicators,high safety,lower incidence of postoperative complications,and less impact on immune function.It should be widely used in clinical practice.