腹腔镜手术与开腹手术治疗急性阑尾炎的疗效对比

摘要

Objective:To compare and analyze the curative effect of laparoscopy versus open surgery for treatment of acute appendicitis. Method:110 patients with acute appendicitis in our hospital from February 2011 to February 2013 were randomly divided into observation group and control group. Observation group was given laparoscopy and control group was given open surgery,then analyzed the effects of the two groups. Result:The peri-operative bleeding,meal time after surgery,pain time,analgesic rate,anorectum exhaust time,hospitalization time,and complication rate of the laparoscopy group were significant better than those of the open surgery group(P<0.05). However,there was no significant difference in operation time between the two groups(P>0.05). Conclusion:Compared with open surgery,the laparoscopy for treatment of acute appendicitis has many advantages,including safety, minimal invasion,quick recovery,and few complications,it can be as preferred method to treat acute appendicitis.%目的：对比分析腹腔镜手术与开腹手术治疗急性阑尾炎的疗效。方法：选择本院2011年2月-2013年2月收治的110例急性阑尾炎患者，分别采用腹腔镜手术和开腹手术治疗，比较分析两组患者的疗效。结果：腹腔镜组患者的术中出血量、术后进食时间、疼痛持续时间、镇痛剂使用率、肛门排气时间、住院时间以及并发症率均显著优于开腹组（P<0.05），但两组患者的手术时间比较差异无统计学意义（P>0.05）。结论：与开腹手术相比，腹腔镜手术治疗急性阑尾炎具有安全、创伤小、恢复快、及并发症少等优势，可以作为治疗急性阑尾炎的首选方法。