老年阑尾炎患者行腹腔镜阑尾切除术治疗的效果分析  

Curative Effect Analysis of Laparoscopic Appendectomy for Elderly Patients with Appendicitis

作　　者：张伟[1] 

机构地区：[1]云南省个旧市人民医院普外科,云南个旧661000

出　　处：《中外医疗》2015年第14期28-29,共2页China & Foreign Medical Treatment

摘　　要：目的探讨老年阑尾炎患者行腹腔镜阑尾切除术的疗效分析。方法随机选取80例老年阑尾炎患者作为研究对象,并将其随机分为对照组和观察组,每组40例。对照组患者进行开腹手术,观察组则进行腹腔镜手术。对比分析两组患者手术时间、术中出血量、住院天数及切口感染率等。结果观察组手术时间为(53.61±10.33)min,术中出血量为(9.11±1.45)m L,住院时间为(5.50±0.50)d,切口感染率为7.50%,对照组相应值(55.12±11.23)min、(27.18±2.87)m L、(10.64±0.50)d、27.50%,观察组术中出血量、住院天数均少于对照组,切口感染率也低于对照组,且差异有统计学意义(P<0.05)。结论使用腹腔镜阑尾切除术治疗老年阑尾炎患者效果显著,值得临床广泛应用。Objective To discuss the curative effect of laparoscopic appendectomy for elderly patients with appendicitis. Methods 80 elderly patients with appendicitis were selected as the research subjects and randomly divided into control group and observa-tion group with 40 cases in each. Open surgery was performed in the control group, while laparoscopic surgery was conducted in the observation group. Operation time, intraoperative blood loss ,hospitalization and wound infection rate were compared the two groups. Results Operation time, intraoperative blood loss, hospitalization and wound infection rate of the observation group were（53.61±10.33）min,（9.11±1.45）mL,（5.50±0.50）d and 7.50%,respectively,while those of the control group were （55.12±11.23）min、（27.18±2.87）mL、（10.64±0.50）d、27.50%,respectively, and the differences were of statistically significant （P〈0.05）. Con-clusion With remarkable effect in treating elderly patients with appendicitis, Laparoscopic appendectomy deserves widespread ap-plication in clinical practice.

关 键 词：老年阑尾炎 腹腔镜阑尾切除术 治疗 

分 类 号：R59[医药卫生—内科学]