研究腹腔镜与开放手术治疗急性阑尾炎的疗效

Study the effect of laparoscopy and open surgery in the treatment of acute appendicitis

目的研究对比腹腔镜与开放手术治疗急性阑尾炎的疗效。方法 120例急性阑尾炎患者,采用随机分组法分为对照组和实验组,每组60例。对照组采用开放手术进行治疗,实验组采用腹腔镜手术进行治疗。比较两组患者治疗效果、切口直径、手术时间、术中出血量、下床活动时间、肠胃功能恢复时间。结果实验组切口直径为(2.36±0.12)cm,短于对照组的(4.33±1.21)cm,差异具有统计学意义(t=12.550, P=0.000<0.05);实验组手术时间为(34.30±10.50)min,短于对照组的(58.11±14.20)min,差异具有统计学意义(t=10.443, P=0.000<0.05);实验组术中出血量为(13.12±8.12)ml,少于对照组的(20.12±14.20)ml,差异具有统计学意义(t=3.315, P=0.000<0.05)。实验组下床活动时间为(30.12±8.12)h,短于对照组的(44.12±13.40)h,差异具有统计学意义(t=6.921, P=0.001<0.05);实验组肠胃功能恢复时间为(13.44±5.12)h,短于对照组的(24.89±7.89)h,差异具有统计学意义(t=9.430, P=0.000<0.05)。实验组总有效率100.00%高于对照组的93.33%,差异具有统计学意义(χ~2=4.138, P=0.042<0.05)。结论腹腔镜手术应用于急性阑尾炎治疗中能够有效缩短患者的手术时间与下床活动时间、肠胃功能恢复时间,同时术中出血量明显较少,切口较小,且能明显缩短患者的术后恢复时间,临床效果较好,使用价值较高。

Objective To study and compare the effect of laparoscopy and open surgery in the treatment of acute appendicitis.Methods A total of 120 patients with acute appendicitis were divided into control group and experimental group according to random numerical table,with 60 cases in each group.The control group was treated with open surgery,and the experimental group was treated with laparoscopic surgery.The therapeutic effect,incision diameter,operation time,amount of intraoperative hemorrhage,off-bed activity time,and recovery time of gastrointestinal function were compared between the two groups.Results The incision diameter(2.36±0.12)cm of the experimental group was shorter than that of the control group(4.33±1.21)cm,and the difference was statistically significant(t=12.550,P=0.000<0.05).The operation time(34.30±10.50)min of the experimental group was shorter than that of the control group(58.11±14.20)min,and the difference was statistically significant(t=10.443,P=0.000<0.05).The amount of intraoperative hemorrhage of the experimental group was(13.12±8.12)ml,which was less than that of the control group(20.12±14.20)ml,and the difference was statistically significant(t=3.315,P=0.001<0.05).The off-bed activity time(30.12±8.12)h of the experimental group was shorter than that of the control group(44.12±13.40)h,and the difference was statistically significant(t=6.921,P=0.000<0.05).The recovery time of gastrointestinal function of the experimental group was(13.44±5.12)h,which was shorter than that of the control group(24.89±7.89)h,and the difference was statistically significant(t=9.430,P=0.000<0.05).The total effective rate 100.00%of the experimental group was higher than that of the control group 93.33%,and the difference was statistically significant(χ2=4.138,P=0.042<0.05).Conclusion Laparoscopic surgery shows good clinical effect in acute appendicitis,which can effectively shorten the operation time and off-bed activity time,gastrointestinal function recovery time,while the amount of intraoperative hemorrhage is significantly less,the incision is smaller,and can significantly shorten the postoperative recovery time of patients.It contains high application value.