腹腔镜与小切口开腹手术治疗急性阑尾炎的比较

Comparison of the efficacy of laparoscopic and mini laparotomy surgery for acute appendicitis

目的探讨腹腔镜手术与小切口开腹手术治疗急性阑尾炎疗效比较。方法对2013年9月至2014年9月期间进行小切口开腹阑尾切除术(open appendectomy,OA)89例和腹腔镜阑尾切除术(laparosocpic appendectomy,LA)85例进行回顾性分析,比较2组患者的手术时间、术后排气时间、住院时间及术后并发症等。结果腹腔镜组术后排气时间、术后并发症、平均住院时间均少于小切口组(P<0.05),小切口组平均手术时间短于腹腔镜组(P<0.05)。结论腹腔镜手术治疗阑尾炎临床疗效优于小切口阑尾切除术,具有推广应用的价值。

Objective To investigate the clinical efficacy of laparoscopic and mini incision appendectomy for treatment of acute appendicitis. Methods The clinical data of 174 patients ( mini incision appendectomy 89 cases,laparoscopic appendectomy 85 cases) with acute appendicitis were retrospectively analyzed. Operative time,postoperative exhausting time,hospital stay and postoperative complications were evaluated. Results The laparoscopic group was superior to mini incision group in postoperative exhausting time, hospital stay and postoperative complications(P<0.05). Mini incision group was lover in operation time. The average operation time of mini incision group was shorter than that of laparoscopic group (P<0.05). Conclusion The laparoscopic technique was superior to mini incision surgery for treatment of acute appendicitis and has the value of popularization and application.