腹腔镜手术与开腹手术治疗穿孔性阑尾炎的疗效对比

摘要

Objective To discuss the clinical effects of laparoscopic appendectomy (LA) and open appendectomy (OA) on perforat-ed appendicitis. Methods 130 cases with perforated appendicitis hospitalized in the period from April, 2012 to April, 2014 were selected and randomly divided into 2 groups:control group and observation group, 65 cases in each;OA was performed on the cases in control group while LA was performed on the cases in observation group;the clinical effects in the 2 groups were compared. Results There ex-isted no obvious difference in operation time between the 2 groups (P>0.05);the duration of hospitalization and the starting time of anus exhaust of the cases in observation group were much shorter than those of the cases in control group (P>0.05);postoperative pain scores of the cases in observation group were much lower than those of the cases in control group (P>0.05);the occurrence of postoperative complications in observation group was 4.6%, obviously lower than that in control group (18.5%) (P>0.05). Conclusions LA leads to smaller wound, quicker recovery and less postoperative complications in cases with perforated appendicitis, and it is worthy of wider clinical application.%目的：探讨腹腔镜手术与开腹手术对穿孔性阑尾炎的临床治疗效果。方法选取我科2012年4月—2014年4月收治的130例穿孔性阑尾炎患者作为研究对象，随机分为对照组与观察组，每组各65例；对照组患者采用开腹手术治疗，观察组患者采用腹腔镜手术治疗，对比两组患者的临床疗效。结果两组患者的手术时间比较无明显差异（P>0.05）；观察组患者的住院时间、肛门排气时间较对照组显著缩短（P<0.05）；观察组患者的术后疼痛评分较对照组明显降低（P<0.05）；观察组患者术后并发症发生率为4.6%，较对照组的并发症发生率18.5%显著降低（P<0.05）。结论腹腔镜手术治疗穿孔性阑尾炎对患者的创伤小、术后恢复快、并发症少，值得推广应用。