腹腔镜治疗急性阑尾炎的临床分析  

Clinical Analysis of Laparoscopic in Treatment of Acute Appendicitis

作　　者：刘存伟[1] 黄进[1] 

机构地区：[1]成都市第七人民医院,四川成都610021

出　　处：《中国医学创新》2012年第14期37-38,共2页Medical Innovation of China

摘　　要：目的:评价腹腔镜下治疗急性阑尾炎的临床应用价值。方法:急性阑尾炎患者98例,按入院先后顺序,随机分为观察组和对照组,每组49例。观察组给予腹腔镜手术,对照组给予开腹手术,比较两组之间的临床疗效。结果:观察组肛门排气时间、住院时间短于对照组,止痛药使用率、切口感染率、综合治疗费用等均少于对照组,组间比较差异均有统计学意义(P<0.05);组间手术时间比较差异无统计学意义(P>0.05)。结论:腹腔镜治疗急性阑尾炎,具有创伤小、恢复快、感染率低、并发症少等优点,优于开腹手术,值得临床推广应用。Objective ：To explore the clinical value of laparoscopic in treatment of acute appendicitis.Methods ：According to admission order, 98 patients with acute appendicitis were randomly divided into control group and observation group with 50 cases in each group.The observation group were treated with laparoscopic surgery, . the control group was treated with open surgery.All clinical indicators were compared between two groups. Results ：The time of flatus and inpatient in observation group is shorter than the that in control group, the rate of pain medication usage, wound infection and the comprehensive cost of treatment in the control group were all less than that in the observation group, the difference between the two groups was statistically significant（P〈0.05） ; The difference of operation time between the two groups was not statistically significant （P〉0.05）. Conclusion ：Laparoscopic in treatment of acute appendicitis is superior to open surgery with less trauma, quicker recovery, lower infection rate, fewer complications.h is worthy of clinical application.

关 键 词：腹腔镜 开腹 治疗 急性阑尾炎 

分 类 号：R656.8[医药卫生—外科学]