腹腔镜下阑尾切除术与开腹阑尾切除术312例临床分析  

Laparoscopic Appendectomy Versus Open Appendectomy: Clinical Analysis of 312 Cases

作　　者：袁雄[1] 王鹏[1] 

机构地区：[1]江苏省人民医院盛泽分院普外科,吴江215228

出　　处：《中国医药导刊》2012年第10期1732-1733,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:对比腹腔镜阑尾切除术与开腹阑尾切除术两种术式的治疗效果及并发症发生率等。方法:对我院2010年1月至2011年6月收治阑尾炎病人按随机分组原则采取腹腔镜下阑尾切除术(共147例)及开腹阑尾切除术(165例)治疗。对患者的手术耗时、术后恢复情况、术后并发症发生率等临床资料进行对比及临床分析。结果:两种手术方式对治疗阑尾炎有同样的疗效,手术耗时无差异,但LA在提早下床活动、术后疼痛、缩短住院时间、降低手术并发症等方面与OA有显著差异。结论:LA术除手术野暴露清晰,便于探查和发现合并的或隐患的疾病并能够及时治疗的优点外,还同时具有创伤小恢复快、术后疼痛轻、并发症少等优点。Objective：Compare the surgical treatment effect and complication rate of laparoscopic appendectomy（LA） with open appendectomy（OA）.Methods：In our hospital in January 2010 to June 2011 patients were randomized principle according to appendicitis take laparoscopic appendectomy was performed（a total of 147 patients） and open appendectomies（165 cases） treatment.Analysis timeconsuming,postoperative recovery situation,the incidence rate of postoperative complications.Results：Two kinds of operation method to have the same effect for appendicitis,operation time consuming no difference,but in bed early LA activities,postoperative pain,shorter hospital stay,reduce the surgery complications and OA are significantly different.Conclusion：LA except surgery was wild exposure is clear,easy to detect and found the hidden trouble of the merger or sick and can timely treatment outside the advantage,still at the same time a small trauma quick recovery,postoperative pain light and less complications,etc.

关 键 词：腹腔镜 阑尾切除术阑尾炎腹腔镜阑尾切除术 

分 类 号：R656.8[医药卫生—外科学]