摘要
目的 :探讨使用腹腔镜阑尾切除手术治疗急性阑尾炎的临床效果。方法 :对2011年1月~2013年12月期间我院收治的94例急性阑尾炎手术患者的临床资料进行回顾性研究。我们将这94例患者随机分为对照组和观察组,其中对照组有患者29例,观察组有患者65例。我们为对照组患者使用开放性阑尾切除手术进行治疗,为观察组患者使用腹腔镜阑尾切除手术进行治疗,观察两组患者的治疗效果及并发症的发生情况。结果 :经过治疗,两组患者均通过手术得到治愈。观察组患者的手术时间平均为(54.5±6.2)min,术中出血量平均为(41.4±15.7)ml,首次下床活动时间平均为(10.8±4.2)h,排气时间为(27.3±5.6)h,住院时间平均为(4.0±1.5)天;对照组患者的手术时间平均为(55.3±5.7)min,术中出血量平均为(83.2±19.8)ml,首次下床活动时间平均为(20.4±5.3)h,排气时间为(40.4±12.3)h,住院时间平均为(8.2±1.7)天。观察组患者在手术时间方面与对照组患者相比无显著差异(P>0.05),不具有统计学意义。观察组患者在术中出血量、首次下床活动时间、排气时间及住院时间方面均明显优于对照组患者,两者相比差异显著(P<0.05),具有统计学意义。在不良反应发生情况方面,观察组的患者中,有1例患者发生了切口感染,有2例患者发生了术后疼痛,其不良反应发生率为4.62%;在对照组的患者中,有2例患者发生了切口感染,有1例患者发生了粘连性肠梗阻,有3例患者发生了术后疼痛,其不良反应发生率为20.69%。观察组患者的不良反应发生率明显低于对照组患者,两者相比差异显著(P<0.05),具有统计学意义。结论 :对急性阑尾炎患者使用腹腔镜进行阑尾切除手术,可以减轻对患者的创伤,减少并发症的发生。此方法值得在临床上推广使用。
Objective: To observe the clinical effect of appendectomy for acuteappendicitis laparoscopic and open. Methods:94 cases in our hospital from 2011 January to 2013 December were, according to operation plan is divided into 29 cases of the control group (open appendectomy) and observation group (65 cases of laparoscopic appendectomy), occurrence index ofoperation and complications were compared between the two groups. Results: in the observation group, 2 patients were converted to open operation; no significant difference between the two groups in operation time, compared with the control group, the observation group patients bleeding in patients withless, time to ambulation, exhaust time and hospital stay were shorter; the incidence of complications was 4.62% (3/65), significantly lower than the control group 20.69% (6/29), with statistically significant differences (P < 0.05).Conclusion: compared with open appendectomy, laparoscopic appendectomy for acute appendicitis can effectively shorten the recovery time of patients,reduce the incidence of complications, clinical application value significantly.
关键词
急性阑尾炎
腹腔镜手术
开放手术
acute appendicitis operation
Laparoscopy
open operation
