腹腔镜手术治疗穿孔性阑尾炎的临床效果分析

Clinical Effect Analysis of Laparoscopic Surgery in the Treatment of Perforated Appendicitis

目的研究分析腹腔镜手术治疗穿孔性阑尾炎的临床效果。方法选择2016~2020年我院收治的急性阑尾炎患者100例,将其随机分为两组,观察组50例,实行腹腔镜阑尾切除手术;对照组50例,实行开腹阑尾切除手术,将两组手术时间、术中出血量、切口长度、住院时间、引流管与止痛药使用率、体温恢复时间、肛门排气时间、下床活动时间进行对比,将统计结果进行综合分析。结果①两组患者术中时间与出血量对比,将观察组与对照组的手术进行时间、手术过程中的出血量进行比较发现,观察组的各项监测指标均优于对照组,两组对比差异有统计学意义(P<0.05);②两组引流管与止痛药使用率比较:对比观察组与对照组术后引流管与止痛药使用率,观察组使用率低于对照组,两组对比差异有统计学意义(P<0.05);③两组术后统计项目对比:经统计两组患者术后的体温恢复时间、肛门排气时间、下床活动时间得出,观察组用时均短于对照组,两组对比差异有统计学意义(P<0.05)。结论腹腔镜在穿孔性阑尾炎手术临床应用中效果比开腹手术好,具有创口小、术后恢复快等优点,可减少并发症,缩短患者住院时间,对患者的康复进程有显著提高,可以广泛推广应用。

Objective To study and analyze the clinical effect of laparoscopic surgery in the treatment of perforated appendicitis.Methods One hundred patients with acute appendicitis in our hospital from 2016 to 2020 were selected and randomly divided into two groups.The observation group(50 cases)received laparoscopic appendectomy.The operation time,intraoperative blood loss,incision length,hospitalization time,drainage tube and analgesic use rate,temperature recovery time,anal exhaust time,ambulation time of the two groups were compared,and the statistical results were analyzed comprehensively.Results①The intraoperative time and blood loss of the two groups were compared.The operation time and blood loss of the observation group and the control group were compared.It was found that the monitoring indexes of the observation group were better than those of the control group,and the difference between the two groups was statistically significant(P<0.05);②Comparison of the use rate of drainage tube and analgesics between the two groups:The use rate of drainage tube and analgesics in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05);③Comparison of two groups of postoperative statistical items:After statistics of temperature recovery time,anal exhaust time and ambulation time,the observation group was shorter than the control group,and the difference was statistically significant(P<0.05).Conclusion The effect of laparoscopic appendectomy in the clinical application of perforated appendicitis surgery is better than open surgery,with the advantages of small wound and fast postoperative recovery,which can reduce complications,shorten the hospitalization time of patients,significantly improve the rehabilitation process of patients,and can be widely applied.