腹腔镜手术与开腹手术治疗急性阑尾炎临床对比分析

摘要

目的：探讨腹腔镜阑尾切除术治疗急性阑尾炎的临床价值及优越性.方法：对比、观察开腹阑尾切除术(对照组46例)与腹腔镜阑尾切除术(观察组96例)的手术及并发症情况.结果：两组手术时间比较，差异无统计学意义(P>0.05)；观察组术中出血量、术后排气时间、抗生素使用时间及平均住院时间均明显低于对照组(P<0.01)；观察组患者术后并发症的发生率明显低于对照组(P<0.05).结论：腹腔镜阑尾切除术治疗急性阑尾炎具有创伤小、恢复快、并发症少、操作简单等优点，可作为目前治疗急性阑尾炎的一种较佳微创手术方案，值得临床推广应用.%Objective:To investigate the clinical value and superiority of laparoscopic appendectomy surgery for acute appendicitis. Method:The surgery and complications of open appendectomy(control group,46 cases)and laparoscopic appendectomy surgery(observation group,96 cases)were observed by groups comparison method. Result:The operation time of the two groups showed no significant difference(P>0.05);blood loss,postoperative exhaust time,antibiotic use time,and the average hospital stay of the observation group were significantly lower than those of the control group(P<0.01);incidence of postoperative complications of the observation group was significantly lower than that of the control group(P<0.05). Conclusion:For acute appendicitis,laparoscopic appendectomy surgery has less trauma,quicker recovery,fewer complications,and simple operation,which can be a preferred minimally invasive surgery program for the treatment of acute appendicitis and is worthy of clinical application.