腹腔镜阑尾切除术与传统术式临床比较

The clinical evaluation of laparoscopic appendectomy and conventional appendectomy

目的 探讨腹腔镜阑尾切除术的优缺点及临床应用价值。方法 2002-03-2003-05随机对腹腔镜阑尾切除术和开腹阑尾切除术各50例阑尾炎进行比较。结果 在各种类型阑尾炎中,腹腔镜阑尾切除术在胃肠功能恢复时间、住院时间方面均较开腹阑尾切除术短(P<0.001),而手术时间均比开腹阑尾切除术长(P<0.001);在切口感染及术后应用止痛药方面,腹腔镜阑尾切除术较开腹手术具有明显优越性。结论腹腔镜阑尾切除术具有创伤小、恢复快、住院时间短及切口感染率低等优点,逐渐成为阑尾切除的首选手术方法。

Objective To explore the advantages and the clinical value of laparoscopic appendectomy. Methods The 50 patients underwent laparoscopic appendectomy were compared with other 50 patients underwent conventional appendectomy from March 2002 to May 2003.The patients were selected rando-mly.Results The recovery time of gastrointestinal function and the time of hospital stay in laparoscopic appendectomy group, was shorter than that in conventional appendectomy group (P<0.001).The operative time of laparoscopic appendectomy was longer than that of conventional appendectomy (P<0.001). The laparoscopic appendectomy had fewer infection of incision and no using analgesics postoperation. Conclusion The laparoscopic appendectomy is proved to be safe and efficient with shorter hospital stay, lighter pain,few infection of incision. It will be the first choice of appendectomy gradually.