开腹与腹腔镜阑尾切除术对于治疗穿孔性阑尾炎的治疗分析

Analysis of Laparotomy and Laparoscopic Appendectomy in Treatment of Perforated Appendicitis

目的对比穿孔性阑尾炎患者行开腹和腹腔镜阑尾切除术治疗的价值。方法将2016年2月至2017年2月我院收治的穿孔性阑尾炎患者60例纳入本次研究中,予以随机数字表法的形式将其平均分为研究组和对照组,每组各为30例。对照组行常规开腹治疗,研究组行腹腔镜阑尾切除术治疗,对比两组患者治疗后的各项指标评分。结果研究组治疗后平均手术用时(63.4±11.6)min、术中出血量(25.5±8.3)mL、切口长度(2.09±0.11)cm优于对照组各项指标,组间对比统计学意义存在(P<0.05);研究组的肛门排气(1.84±0.67)日、下床活动(1.72±0.73)日、导尿(0.83±0.24)日、进食时间(2.33±0.73)日、抗生素应用(3.23±1.74)日以及引流用时(1.40±0.66)日优于对照组,组间对比统计学意义存在(P<0.05)。结论相较于基础手术方法,腹腔镜手术治疗穿孔性阑尾炎的各项指标更优,临床推广价值存在。

Objective To compare value of laparotomy and laparoscopic appendectomy for perforating appendicitis.Methods Collect 60 cased perforating appendicitis patients admitted to our hospital from February 2016 to February 2017 in the study.Divide them into study group and control group with digital random table method,30 cases in each group.Control group was treated with routine laparotomy and study group with laparoscopic appendectomy.Compare each index scores after treatment between two groups.Results After treatment,average operation time(63.4±11.6)min,intraoperative bleeding volume(25.5±8.3)ml,incision length(2.09±0.11)cm of study group was superior to control group,comparison showed statistical significance between two groups(P<0.05).Anal exhaust(1.84±0.67)days,ambulation(1.72±0.73)days,urinary catheterization(0.83±0.24)days and diet time(2.33±0.73)days,antibiotic application(3.23±1.74)days and drainage time(1.40±0.66)days of study group,was better than control group,comparison showed statistical significance between two groups(P<0.05).Conclusion Compared with basic surgical methods,laparoscopic surgery has better indicators in treatment of perforated appendicitis,which is of clinical promotion value.