腹腔镜手术和开腹手术治疗急性阑尾炎的效果比较

摘要

目的：评估腹腔镜手术和开腹手术治疗急性阑尾炎的临床疗效和安全性。方法：选取笔者所在医院2012年1月-2015年12月收治的50例急性阑尾炎患者为研究对象，按随机分配原则分为观察组和对照组，各25例，观察组采用腹腔镜手术治疗，对照组采用传统开腹手术治疗，记录两组患者的不良反应，评估两组患者的治疗效果，并采用视觉模拟评分(VAS)评估两组患者的疼痛程度。结果：观察组患者下床活动时间及排气时间均早于对照组，术后疼痛感评分低于对照组，住院时间短于对照组，差异均有统计学意义(P<0.05)。观察组患者术后并发症发生率低于对照组，差异有统计学意义(P<0.05)。结论：腹腔镜手术治疗急性阑尾炎安全有效，手术时间短，术后恢复快，不良反应少，值得推广应用。%Objective:To evaluate the clinical efficacy and safety of laparoscopic surgery and open surgery in the treatment of acute appendicitis. Method:A total of 50 patients with acute appendicitis admitted to our hospital from January 2012 to December 2015 were enrolled in this study and randomly divided into the observation group(25 cases) and the control group(25 cases).Patients in the observation group were received laparoscopic surgery,and patients in the control group were underwent traditional open surgery,the incidence of adverse events and clinical efficacy in the two groups were evaluated and compared, the degree of postoperative pain of patients in both of the groups were scored by Visual Analogue Scale(VAS).Result:Patients in the observation group presented earlier ambulation time and exhaust time than those of the control group,and the postoperative pain score of the observation group was lower than that of the control group,the differences were all statistically significant(P<0.05).Furthermore,the postoperative complications in the observation group were less than that of the control group,the difference was statistically significant(P<0.05).Conclusion:Laparoscopic surgery is safe and effective in the treatment of acute appendicitis with high clinical efficacy,shorter operation time,rapid recovery,and less side effects.