腹腔镜应用于复杂性和非复杂性阑尾炎的效果

Effect of Laparoscopy on Complicated and Uncomplicated Appendicitis

目的研究腹腔镜应用于复杂性和非复杂性阑尾炎的效果。方法选取在大连市友谊医院普外科就诊的80例阑尾炎患者为研究对象,时间为2018年1月至2019年1月,随机分为试验组(n=40)和对照组(n=40)。试验组40例为复杂性阑尾炎;对照组40例为非复杂性阑尾炎,比较试验组和对照组术后情况及住院时间比较。结果与对照组患者相比,试验组患者手术时间延长,腹腔内脓液增多,差异具有统计学意义(P<0.05);对照组与试验组患者术后并发症与住院时间比较,差异无统计学意义(P>0.05)。结论腹腔镜阑尾切除术是治疗复杂阑尾炎的一种可行、安全以及有效的方法,并且腹腔镜阑尾切除术是复杂性阑尾炎的首选治疗方法。

Objective To study the effect of laparoscopy in the treatment of complicated and uncomplicated appendicitis.Methods From January 2018 to January 2019,80 patients with appendicitis in the department of general surgery,Dalian Friendship Hospital were selected and randomly divided into the experimental group and the control group.Forty cases of complex appendicitis in the experimental group;the control group had 40 cases of uncomplicated appendicitis,and the postoperative conditions and length of hospital stay were compared between the experimental group and the control group.Results Compared with the control group,the operation time in experimental group was longer,and the number of pus in abdominal cavity was increased,the difference was statistically significant(P<0.05).There was no significant difference in postoperative complications and length of hospital stay between the control group and the experimental group(P>0.05).Conclusion Laparoscopic appendectomy is a feasible,safe and effective method for the treatment of complex appendicitis,and laparoscopic appendectomy is the first choice for the treatment of complex appendicitis.