腹腔镜手术与开腹手术治疗急性阑尾炎临床对比分析  

The Clinical Comparative Analysis of Laparoscopic Surgery and Open Surgery for Acute Appendicitis

作　　者：羊平 王艺何 李春满[3] 朱磊[3] 董丽英[3] 

机构地区：[1]云南省安宁市禄脿医院,云南安宁650311 [2]云南省玉溪市矿业医院 [3]昆明医科大学第二附属医院

出　　处：《中国医学创新》2013年第9期26-28,共3页Medical Innovation of China

摘　　要：目的:探讨腹腔镜阑尾切除术治疗急性阑尾炎的临床价值及优越性。方法:对比、观察开腹阑尾切除术(对照组46例)与腹腔镜阑尾切除术(观察组96例)的手术及并发症情况。结果:两组手术时间比较,差异无统计学意义(P>0.05);观察组术中出血量、术后排气时间、抗生素使用时间及平均住院时间均明显低于对照组(P<0.01);观察组患者术后并发症的发生率明显低于对照组(P<0.05)。结论:腹腔镜阑尾切除术治疗急性阑尾炎具有创伤小、恢复快、并发症少、操作简单等优点,可作为目前治疗急性阑尾炎的一种较佳微创手术方案,值得临床推广应用。@@@@Objective:To investigate the clinical value and superiority of laparoscopic appendectomy surgery for acute appendicitis. Method:The surgery and complications of open appendectomy(control group,46 cases)and laparoscopic appendectomy surgery(observation group,96 cases)were observed by groups comparison method. Result:The operation time of the two groups showed no significant difference(P>0.05);blood loss,postoperative exhaust time,antibiotic use time,and the average hospital stay of the observation group were significantly lower than those of the control group(P<0.01);incidence of postoperative complications of the observation group was significantly lower than that of the control group(P<0.05). Conclusion:For acute appendicitis,laparoscopic appendectomy surgery has less trauma,quicker recovery,fewer complications,and simple operation,which can be a preferred minimally invasive surgery program for the treatment of acute appendicitis and is worthy of clinical application.

关 键 词：急性阑尾炎 开腹阑尾切除术 腹腔镜阑尾切除术 并发症 

分 类 号：R656.8[医药卫生—外科学]