老年急性阑尾炎应用腹腔镜与开腹阑尾切除术治疗疗效比较的系统评价  

A Systematic Review of Laparoscopic and Open Appendectomy in Elderly Patients with Acute Appendicitis

作　　者：秦威[1] QIN Wei(Department of General Surgery,Section Three,Haimen Hospital of Traditional Chinese Medicine,Nantong,Jiangsu Province,226100 China)

机构地区：[1]海门市中医院三病区普外科,江苏南通226100

出　　处：《系统医学》2018年第9期132-134,共3页Systems Medicine

摘　　要：目的对比老年急性阑尾炎应用腹腔镜与开腹阑尾切除术治疗疗效。方法按照随机数字表法的方式将2016年11月—2017年11月期间在该院进行治疗的老年急性阑尾炎患者均分成研究组和参照组,总计120例患者,每组各60例。研究组患者接受腹腔镜手术治疗,参照组患者接受开腹切除术治疗,对比两组患者的治疗疗效。结果研究组患者治疗有效率为96.7%,参照组患者治疗有效率为75.0%,(χ~2=11.582 0,P=0.000 6),研究组患者的治疗疗效明显高于参照组,组内数据对比为(P<0.05);研究组患者的术后排气时间为(22.98±5.39)d、抗感染治疗时间为(5.41±2.15)d、功能恢复时间为(20.47±7.36)d、下床走路时间为(25.79±11.52)d、住院时间为(4.52±1.17)d;参照组则分别为(38.76±5.14)d、(8.05±2.74)d、(38.76±8.93)d、(35.15±12.19)d、(7.85±2.74)d,研究组患者各项数据均明显优于参照组,组内数据对比为(t=16.411 4、5.871 4、12.242 6、4.322 7、8.657 6,P<0.05);研究组患者并发症发生率为6.67%,参照组患者并发症发生率为23.33%,研究组患者的并发症发生率也明显低于参照组,数据对比差异有统计学意义(χ~2=6.535 9,P<0.05)。结论老年急性阑尾炎应用腹腔镜手术治疗的疗效明显优于开腹阑尾炎切除术的疗效,腹腔镜手术更利于患者的恢复,能够提高患者的预后效果,临床效果显著,应当推广应用。Objective This paper tries to compare the efficacy of laparoseopie appendectomy and open appendectomy in elderly patients with acute appendicitis. Methods The elderly patients with acute appendicitis who were treated in this hospital from November 2016 to November 2017 were divided into study group and reference group according to the method of random number table, a total of 120 patients, 60 cases in each group. Patients in the study group under- went laparoscopic surgery and patients in the reference group underwent open resection. The therapeutic effects of the two groups were compared. Results The effective rate was 96.7% in the study group and 75.0% in the reference group. X2=11.582 0,P=0.000 6）. The treatment effect in the study group was significantly higher than that in the reference group. The data in the group was （P〈0.05）; The postoperative ventilatory time was （22.98±5.39）d in the group, （5.41±2.15）d for anti-infective treatment（20.47±7.36）d for functional recovery, and （25.79±11.52）d for walking out of bed, the duration of hospitalization was （4.52±1.17）d; the reference groups were （38.76±5.14）d, （8.05±2.74）d, （38.76±8.93）d, （35.15±12.19）d, （7.85±2.74）d, The data in the study group were significantly better than the reference group. The data within the group were （t=16.411 4, 5.871 4, 12.242 6, 4.322 7, 8.657 6, P〈0.05）; the complication rate in the study group was 6.67%, and the complications in the reference group was 23.33%. The incidence of complications in the study group was also significantly lower than that in the reference group. The data was statistically significant （X2=6.535 9, P〈0.05）. Conclusion The efficacy of laparoscopic surgery for elderly patients with acute appendicitis is significantly better than that for open appendicitis. Laparoscopic surgery is more conducive to the recovery of patients, can improve the prognosis of patients, has a significant clinical effect, and should be promoted.

关 键 词：急性阑尾炎 腹腔镜 开腹阑尾切除术 治疗疗效 系统评价 

分 类 号：R574.61[医药卫生—消化系统]