阑尾切除手术临床治疗疗效分析

Analysis of the clinical curative effect of appendectomy operation

目的:探讨分析传统开腹手术与腹腔镜手术进行阑尾切除的临床疗效。方法:2012年2月-2014年2月收治行阑尾切除术患者96例,随机分为观察组和对照组,每组48例,其中观察组行腹腔镜下阑尾切除,对照组行传统开腹术,对比两组手术时间、术中出血量、抗生素的使用时间、并发症的发生率、胃肠功能恢复及住院时间。结果:观察组手术时间、术中出血量均明显少于对照组,对比差异有统计学意义(P<0.05);观察组术后抗生素的使用时间、胃肠功能恢复及住院时间均明显短于对照组,对比差异有统计学意义(P<0.05);观察组术后并发症发生率2.08%明显少于对照组14.58%,对比差异有统计学意义(P<0.05)。结论:腹腔镜下阑尾切除与传统开腹手术相比较,具有切口小、疼痛轻、术后恢复较快、并发症发生率较低的优点,值得临床推广应用。

Objective:To explore and analyze the clinical effects of traditional laparotomy and laparoscopic operation for appendectomy.Methods:96 cases with appendicectomy were selected from February 2012 to February 2014.They were randomly divided into the observation group and the control group with 48 cases in each.The observation group were given laparoscopic appendectomy.The control group were given traditional laparotomy.The operation time,the intraoperatve blood soss,the antibiotic use time,the incidence rate of complication,gastrointestinal function recovery time and hospital stay of patients in two groups were compared.Results:The operation time and the intraoperatve blood soss of the observation group were significantly less than those of the control group,and the differences was statistically significant(P<0.05).The antibiotic use time,gastrointestinal function recovery time and hospital stay of the observation group were significantly shorter than those of the control group,and the differences was statistically significant(P<0.05).The incidence rate of postoperative complication of the observation group was2.08%,less than 14.58% of the control group,and the differences was statistically significant(P<0.05).Conclusion:Compared with traditional laparotomy,laparoscopic appendectomy has the advantages,such as small incision,light pain,faster postoperative recovery,lower incidence rate of complication.It is worthy of clinical application.