腹腔镜阑尾手术治疗急性阑尾炎患者的临床价值研究

Research on the clinical value of laparoscopic appendectomy in the treatment of acute appendicitis

目的:研究采用腹腔镜阑尾炎手术治疗急性阑尾炎的临床价值。方法:2019年6月-2020年10月收治急性阑尾炎患者50例,按入院先后顺序分为两组,各25例。对照组行开腹阑尾切除术治疗;观察组行腹腔镜阑尾手术治疗。比较两组治疗效果。结果:观察组并发症发生率明显低于对照组,差异有统计学意义(P<0.05);观察组手术用时、术中出血量、切口长度、胃肠功能恢复时间及住院时间均低于对照组,差异有统计学意义(P<0.05);观察组治疗总有效率明显高于对照组,差异有统计学意义(P<0.05)。结论:急性阑尾炎采用腹腔镜阑尾手术治疗,具有创伤性小、并发症发生率低、患者康复快等众多优势,为提升治疗有效率及患者术后生活质量奠定了有利的基础条件。

Objective:To study the clinical value of laparoscopic appendectomy in the treatment of patients with acute appendicitis.Methods:From June 2019 to October 2020,50 cases of patients with acute appendicitis were enrolled,they were divided into two groups according to the order of admission,with 25 cases in each group.The control group underwent open surgery.The observation group underwent laparoscopic appendectomy.The therapeutic effects between the two groups was compared.Results:The incidence of complications in observation group was significantly lower than that in control group,the difference was statistically significant(P<0.05).The operative time,intraoperative bleeding volume,incision length,gastrointestinal function recovery time and lengths of hospital stay in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).The total effective rate of treatment in the observation group was significantly higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion:Laparoscopic appendectomy for acute appendicitis has many advantages,such as small trauma,low incidence of complication and quick recovery,which lays a favorable foundation for improving the effective rate of treatment and the quality of life after operation.