腹腔镜治疗复杂性阑尾炎的近期和远期疗效分析.docVIP

腹腔镜治疗复杂性阑尾炎的近期和远期疗效分析 　　[摘要] 目的 研究腹腔镜治疗复杂性阑尾炎的近期和远期疗效，探讨其临床适用性。 方法 取2012年1月～2013年7月在我院就诊的90例复杂性阑尾炎患者作为研究对象，随机分为对照组和实验组，各45例。对照组采用传统开腹手术治疗，实验组采用腹腔镜手术治疗。比较两组患者的术中出血量、手术时间、术后排气时间、住院时间及并发症发生情况，出院1、2年后随访，比较其阑尾炎复发率。 结果 实验组的术中出血量明显少于对照组，术后排气时间、住院时间明显短于对照组，差异有统计学意义（P0.05）；出院1年后，实验组的阑尾炎复发率为2.22%，明显低于对照组的6.67%；出院2年后，实验组的阑尾炎复发率为4.44%，明显低于对照组的15.56%，差异有统计学意义（P0.05）。对照组的总并发症发生率为20.00%，明显高于实验组的6.67%，差异有统计学意义（P0.05）。 结论 腹腔镜治疗伴阑尾周围脓肿、穿孔及坏疽的复杂性阑尾炎的近期和远期疗效好，安全性高，值得临床推广应用。 　　[关键词] 复杂性阑尾炎；腹腔镜；近期疗效；远期疗效；并发症 　　[中图分类号] R656.8 [文献标识码] A [文章编号] 1674-4721（2016）02（a）-0041-03 　　Analysis of short and long term efficacy of laparoscope in the treatment of complicated appendicitis 　　LAI Bei-ping LI Wen-ping ZHONG Xiang 　　Department of the Third Surgery，Dayu People′s Hospital in Jiangxi Province，Dayu 341500，China 　　[Abstract] Objective To study short and long term efficacy of laparoscope in the treatment of complicated appendicitis，and explore their clinical applicability. Methods From January 2012 to July 2013，90 patients with complicated appendicitis treated by our hospital were randomly divided into control group and experimental group，and there were 45 cases in each group.Control group was given traditional open surgery，while experimental group was given laparoscopic surgery.The blood loss during operation，operative time，postoperative exhaust time，hospital stay and occurrence of complication in patients between two groups was compared respectively，and after followed-up by 1 year，2 years in patients leaving hospital，recurrence rate of appendicitis was compared respectively. Results The blood loss during operation in experimental group was obviously less than that of control group，postoperative exhaust time，hospital stay was obviously shorter than that of control group，and the difference was statistically significant （P 　　[Key words] Complicated appendicitis；Laparoscope；Short-term efficacy；Long-term efficacy；Complication 　　急性阑尾炎为临床常见的外科疾病，分为复杂性阑尾炎与非复杂性阑尾炎[1]，复杂性阑尾炎包括阑尾周围脓肿、穿孔性和坏疽性阑尾炎