腹腔镜与开放手术在急性阑尾炎患者治疗中的应用对比

Application Comparison of Laparoscopic and Open Surgery in Treatment of Acute Appendicitis

目的探讨腹腔镜与开放手术在急性阑尾炎患者治疗中的应用效果。方法将我院收治的118例急性阑尾炎患者根据手术方式进行分组,定义接受传统开放手术的59例患者作为对照组,另外采用腹腔镜手术的59例患者作为观察组,对两组患者的手术治疗效果进行比较。结果观察组患者手术时间、住院时间、恢复活动时间、肛门排气时间均显著短于对照组,其术中出血量少于对照组,组间差异明显,存在统计学意义(P<0.05);在并发症发生率比较上,观察组明显低于对照组,组间具有显著性差异(P<0.05);观察组治疗满意度96.6%与对照组76.3%进行比较,两组之间具有统计学差异(P<0.05)。结论与开放手术相比,腹腔镜手术治疗急性阑尾炎的效果更为确切,可作为临床优先选择的治疗方法普及推广。

Objective To investigate application effect of laparoscopic surgery and open surgery in treatment of acute appendicitis. Methods Divide 118 cases acute appendicitis patients in our hospital into groups according to surgical methods, 59 cases received traditional open surgery were in control group, 59 cases laparoscopic surgery patients were in observation group, compare and observe operation effect of two groups. Results All relevant clinical indexes, operation time, intraoperative bleeding amount, hospitalization time, recovery time, anal exhaust time of observation group were significantly better than control group(P<0.05); complication rate of observation group was significantly lower than control group, difference showed statistical significance(P<0.05); satisfaction degree of observation group was 96.6%, significantly higher than control group, 76.3%, difference showed statistical significance(P<0.05). Conclusion Laparoscopic surgery has superior effect to open surgery in treatment of acute appendicitis.