摘要
目的研究腹腔镜阑尾切除术与开腹阑尾切除术治疗急性阑尾炎的疗效。方法于2016年5月—2017年7月来该院普外科就诊的急性阑尾炎患者中方便选取选出74例,根据手术方法不同分组,对照组患者行开腹阑尾切除术;观察组患者行腹腔镜阑尾切除术。结果观察组患者的手术时间[(40.2±6.50 min vs(39.5±6.80)min]与对照组比较差异无统计学意义(P>0.05);在术中出血量[(11.6±2.30)m L vs(24.3±4.20)m L]、术后下床活动时间[(0.84±0.15)d vs(1.26±0.24)d]、肛门排气时间[(0.97±0.19)d vs(1.44±0.28 d)]、进食时间[(1.04±0.13)d vs(1.48±0.25)d]、住院时间[(4.76±0.25)d vs(6.92±0.33)d]指标上,观察组均优于对照组(P<0.01);观察组患者的术后并发症发生率5.41%低于对照组的21.62%(P<0.05)。结论腹腔镜阑尾切除术用于急性阑尾炎治疗中效果确切,手术的创伤、应激反应小,患者术后恢复较快。
Objective To research the curative effect of laparoscopic appendectomy and open appendectomy in treatment of acute appendicitis. Methods 74 cases of patients with acute appendicitis diagnosed in our hospital from May 2016 to July2017 were conveniently selected and divided into two groups according to different operation methods, the control group and the observation group were respectively treated with laparoscopic appendectomy and open appendectomy. Results The difference in the operation time between the observation group and the control group was not obvious,[(40.2±6.50)min vs(39.5±6.80)min](P>0.05), and the intraoperative bleeding amount, time to get out of bed after surgery, anal exhaust time, eating time and length of stay in the observation group were better than those in the control group,[(11.6±2.30)m L vs(24.3±4.20)m L,(0.84±0.15)d vs(1.26±0.24)d,(0.97±0.19)d vs(1.44±0.28)d,(1.04±0.13)d vs(1.48±0.25)d,(4.76±0.25)d vs(6.92±0.33)d](P<0.01), and the incidence rate of postoperative complications in the observation group was lower than that in the control group(5.41% vs 21.62%)(P<0.05). Conclusion The effect of laparoscopic appendectomy in treatment of acute appendicitis is definite with small operation wound and stress reaction, and the recovery of patients is rapid.
出处
《中外医疗》
2017年第31期65-67,共3页
China & Foreign Medical Treatment
