腹腔镜与开腹术切除治疗阑尾炎的效果  

The Effect of Laparoscopy and Laparotomy in the Treatment of Appendicitis

作　　者：曹春和[1] 

机构地区：[1]吉林省前卫医院普外科,吉林长春130012

出　　处：《中国卫生标准管理》2017年第27期48-49,共2页China Health Standard Management

摘　　要：目的比较腹腔镜与开腹手术治疗阑尾炎的效果。方法本次研究的数据均来自我院2016年1月—2017年1月进行手术治疗的80例阑尾炎患者,分成治疗组(腹腔镜手术治疗)与对照组(开腹手术治疗),每组40例。对比其治疗效果、预后与恢复情况。结果对照组:治疗总有效率为92.5%;创口长度(4.15±1.62)cm,手术时间(29.57±11.47)min;住院时间(7.63±1.63)d;并发症8例。治疗组:治疗总有效率100%;创口长度(2.10±0.32)cm;手术时间(21.26±7.47)min;住院时间(4.23±1.21)d;并发症2例。治疗组均优于对照组,差异具有统计学意义(P<0.05)。结论阑尾炎具有高发性、高治愈性等特点,腹腔镜手术治疗具有更好的治疗效果和预后结果。Objective To compare the effect of laparoscopy and laparotomy in the treatment of appendicitis. Methods From January 2016 to January 2017, 80 cases of appendicitis were randomly divided into treatment group （laparoscopic surgery） and control group （laparotomy）, each group of 40 people. The therapeutic effect, prognosis and recovery were compared. Results In control group, the total effective rate was 92.5%, the length of wound was （4.15 ± 1.62） cm, the operation time was （29.57 ± 11.47） min, hospital stay was （7.63 ± 1.63） d, and complications were found in 8 cases. In treatment group, the total effective treatment was 100%, the length of wound was （2.10 ± 0.32） cm, the operation time was （21.26± 7.47） rain, the hospitalization time was （4.23 ± 1.21） d, and the complications was in 2 cases. The treatment group was better than the control group, with statistical difference （P 〈 0.05）. Conclusion Appendicitis has the characteristics of high incidence. Laparoscopic surgery has better therapeutic effect and prognosis.

关 键 词：腹腔镜 开腹手术 阑尾炎 治疗效果 手术时间 

分 类 号：R656[医药卫生—外科学]