腹腔镜与开放手术治疗急性阑尾炎的疗效对比研究  

Comparative Study of Laparoscopy and Open Surgery in the Treatment of Acute Appendicitis

作　　者：齐明[1] 

机构地区：[1]哈尔滨市第一医院普外一科,黑龙江哈尔滨150010

出　　处：《中国卫生标准管理》2017年第8期54-55,共2页China Health Standard Management

摘　　要：目的对比并研究腹腔镜与开放手术治疗急性阑尾炎的疗效。方法分析我院治疗的84例急性阑尾炎患者资料,根据临床采取的手术方案不同分为两组,对照组(40例)行传统开放手术治疗,研究组(44例)行腹腔镜手术治疗,对比两组手术效果。结果研究组切口大小(2.36±0.12)cm,手术时间(34.71±10.28)min,术中出血量(10.14±13.26)ml,下床活动时间(28.21±13.04)h,胃肠功能恢复时间(12.35±5.16)h;对照组分别为(4.26±1.08)cm、(63.28±12.71)min、(19.28±17.32)ml、(45.65±19.87)h、(30.12±11.43)h;研究组手术效果较对照组更优,差异均具有统计学意义(P<0.05)。结论与开放手术相比,腹腔镜术应用于急性阑尾炎治疗中具创伤小、术时短、术后恢复快等优点。Objective To compare and study the efficacy of laparoscopy and open surgery in the treatment of acute appendicitis. Methods 84 patients with acute appendicitis data in our hospital were analyzed, according to the clinical procedure, the patients in the control group （40 cases） underwent traditional open surgery. The study group （44 cases） underwent laparoscopic surgery, and the operation effect was compared between the two groups. Results The incision size （2.36±0.12） cm, operation time （34.71±10.28） min, （12.35±5.16） h, the control group were （4.26±1.08） cm, （63.28±12.71）, the time of the outbreak was （10.14±13.26） ml, the time of bed removal （28.21±13.04） h, （19.28±17.32） ml, （45.65±19.87） h, （30.12±11.43） h, and the operative group was significantly better than the control group （P 〈 0.05）. Conclusion Compared with open surgery, laparoscopic surgery in acute appendicitis treatment with trauma, short duration, rapid postoperative recovery.

关 键 词：腹腔镜术 开腹术 急性阑尾炎 疗效 

分 类 号：R574[医药卫生—消化系统]