腹腔镜阑尾切除术与传统手术疗效的比较  

Comparison of the therapeutic effect between laparoscopic appendectomy and traditional appendectomy

作　　者：罗红杰[1] 张晓琼[1] 李培生[1] 车宗华[1] 

机构地区：[1]河南宏力医院,河南长垣453400

出　　处：《腹腔镜外科杂志》2009年第11期816-818,共3页Journal of Laparoscopic Surgery

摘　　要：目的:比较腹腔镜阑尾切除术(laparoscopic appendectomy,LA)与传统开腹阑尾切除术(open appendectomy,OA)的临床疗效。方法:随机将223例阑尾炎患者分为两组,LA组115例行LA,OA组108例行OA。比较两种术式的手术时间、平均住院费用、住院时间、术后镇痛剂应用、术后24h内肛门排气例数、放置引流管率、切口感染率等。结果:LA组术后24h内肛门排气时间、放置引流管率、切口感染率、平均住院时间、粘连性肠梗阻、镇痛剂应用例数与OA组的差异有统计学意义(P<0.05);两组手术时间差异无统计学意义(P>0.05);LA组住院费用明显高于OA组(P<0.05)。结论:LA具有手术损伤小,患者疼痛轻、康复快、住院时间短、并发症少等优点,可作为多数阑尾炎患者的首选术式。Objective：To compare the laparoscopic appendectomy（LA）and traditional open appendectomy（OA）on their therapeutic effect.Methods：Two hundred and twenty-three patients with appendicitis were divided into two groups randomly,for one group（n=115）,patients were treated with LA and for the other group（n=108）,patients were treated with OA.The clinical effects of the two groups,such as operative time,mean hospitalization cost,hospital stay,incidence of postoperative analgesics usage,anal exhaust within 24h,drainage tube and incision infection were compared.Results：The following index showed significant difference between the two groups（P0.05） ：time of anal exhaust,incidence of drainage tube usage,incision infection,mean hospital stay,adhesive ileus and postoperative analgesics usage.There was no significant difference in operative time between the two groups（P0.05）,the hospital cost of LA group was significantly higher than that of OA group（P0.05）.Conclusions：Compared with OA,LA has the advantages of little trauma,gentle pain,quick recovery,short hospitalization and less complication.LA can be recommended as the first choice for most of the patients with appendicitis.

关 键 词：阑尾切除术 腹腔镜检查 剖腹术 治疗结果 对比研究 

分 类 号：R656.8[医药卫生—外科学]