腹腔镜阑尾切除术与开腹阑尾切除术治疗急性阑尾炎的临床比较研究

摘要

目的：观察腹腔镜阑尾切除术与开腹阑尾切除术治疗急性阑尾炎的临床效果。方法：收治急性阑尾炎患者86例，随机分为观察组和对照组。对照组行开腹阑尾切除术，观察组行腹腔镜阑尾切除术，比较两组手术时间、术中出血量及免疫学指标。结果：观察组手术时间、肠功能恢复时间、术中出血量及术后并发症发生率均少于或低于对照组(P＜0.05)。治疗后，对照组TNF-α水平及CRP水平明显高于观察组(P＜0.05)。结论：腹腔镜阑尾切除术较开腹阑尾切除术手术时间短，能降低机体炎性应激反应，促进患者术后恢复。%Objective:To observe the clinical effect of laparoscopic appendectomy and open appendectomy in the treatment of acute appendicitis.Methods:86 cases of patients with acute appendicitis were randomly divided into the observation group and the control group.The control group were given open appendectomy,and the observation group were given laparoscopic appendectomy. The operation time,intraoperative blood loss and immunological indexes of the two groups were compared.Results:The operating time,gastrointestinal function recovery time,intraoperative blood loss and postoperative complication rates of the observation group were less than those of the control group(P<0.05).After treatment,the TNF-α and CRP levels of the control group were significantly higher than those of the observation group(P<0.05).Conclusion:Laparoscopic appendectomy had shorter operating time than open appendectomy.It can reduce the body's inflammatory stress response and promote the patients’ recovery.