腹腔镜下阑尾切除术对急性阑尾炎患者术后并发症、炎性指标及康复效果分析

Analysis of Postoperative Complications,Inflammatory Indicators,and Rehabilitation Effects of Laparoscopic Appendectomy in Patients with Acute Appendicitis

目的探讨腹腔镜下阑尾切除术对急性阑尾炎患者术后并发症、炎性指标及康复效果的影响。方法回顾性分析2023年1月至2024年1月本院阑尾切除手术的急性阑尾炎病例,按照手术方式不同,将实施开腹阑尾切除术的急性阑尾炎50例为对照组,实施腹腔镜下阑尾切除术的急性阑尾炎50例为研究组。关于两组病例各项临床指标作比较。结果研究组的手术耗时较对照组更长,术中失血量及术后并发症总发生率较对照组更低(均P<0.05)。研究组术后恢复肛门排气、恢复排便、初次离床活动的时间及住院天数均较对照组更短(均P<0.05)。研究组术后第1、2、3天的疼痛感评分均低于对照组(均P<0.05)。在术后1 d,研究组病例血清C反应蛋白和白细胞介素6水平均比对照组低(均P<0.05)。结论在急性阑尾炎患者进行手术治疗时,相比于应用开腹阑尾切除术,腹腔镜下阑尾切除术能够减少手术中血液的丢失量,减轻术后炎症反应和疼痛感,降低在手术后发生并发症的风险,从而促使手术后康复速度加快。

Objective To explore the effects of laparoscopic appendectomy on postoperative complications,inflammatory indicators,and rehabilitation outcomes in patients with acute appendicitis.Methods A retrospective analysis was conducted on cases of acute appendicitis undergoing appendectomy in our hospital from January 2023 to January 2024.According to different surgical methods,50 cases of acute appendicitis undergoing open appendectomy were selected as the control group,and 50 cases of acute appendicitis undergoing laparoscopic appendectomy were selected as the study group.The clinical indicators were compared between two groups of cases.Results The study group took longer to operate than the control group,and had lower intraoperative blood loss and lower overall incidence of postoperative complications than the control group(all P<0.05).The postoperative time for resumption of anal defecation,resumption of defecation,first time out of bed and the number of days in hospital were shorter in the study group than in the control group(all P<0.05).The pain scores of the study group were lower than those of the control group on the 1st,2nd and 3rd postoperative days(all P<0.05).At 1 days postoperatively,serum C-reactive protein and interleukin 6 levels were lower in the study group cases than in the control group(both P<0.05).Conclusions Compared with open appendectomy,laparoscopic appendectomy can reduce blood loss during surgery,alleviate postoperative inflammation and pain,lower the risk of postoperative complications,and accelerate postoperative recovery in patients with acute appendicitis.