腹腔镜与开腹手术治疗急性阑尾炎对比分析.docVIP

腹腔镜与开腹手术治疗急性阑尾炎对比分析 　　[摘要] 目的 探析腹腔镜与开腹手术治疗急性阑尾炎的临床效果。方法 随机选取该院2012年3月―2015年3月收治的120例急性阑尾炎的患者，随机将其分为对照组和治疗组，每组60例，采取传统的开腹手术对对照组患者进行治疗，采取腹腔镜手术对治疗组患者进行治疗，比较两组临床治疗效果。结果 治疗组手术时间、术中出血量、肛门排气时间、住院时间分别为（38.4±12.2）min、（20.3±1.1）mL、（29.0±1.1）h、（3.5±0.7）d较对照组差异有统计学意义，P0.05；治疗组并发症发生率为3.33%较对照组21.67%差异具有统计学意义，P0.05。结论 应用腹腔镜手术治疗急性阑尾炎，对患者的创伤小，恢复快，并发症少，值得应用。 　　[关键词] 腹腔镜手术；开腹手术；急性阑尾炎；临床效果 　　[中图分类号] R656.8 [文献标识码] A [文章编号] 1674-0742（2016）01（a）-0082-02 　　Comparison of Laparoscope and Open Surgery in Treatment of Acute Appendicitis 　　WANG Yang 　　Department of General surgery， Lianyungang Maternal and Child Care Service Centre， Lianyungang， Jiangsu Province， 222000 China 　　[Abstract] Objective To discuss the clinical effect of laparoscope and open surgery in treatment of acute appendicitis. Methods 120 cases of patients with acute appendicitis treated in our hospital from March 2012 to March 2015 were selected and randomly divided into two groups with 60 cases in each， the control group were given traditional open surgery ， the treatment group were given laparoscope surgery， the clinical treatment effects of the two groups were compared. Results The operation time， intraoperative blood loss， anal exsufflation time and length of stay were respectively （38.4±12.2）min，（20.3±1.1）ml，（29.0±1.1）h and（3.5±0.7）d in the treatment group ，and there were differences compared with those in the control group， P0.05， the incidence rate of complications was 3.33% in the treatment group and 21.67% in the control group ， there was difference between the two groups by comparison and the difference was statistically significant， P0.05. Conclusion Laparoscope surgery in treatment of acute appendicitis has small trauma to patients ， rapid recovery and few complications ， which is worthy of application. 　　[Key words] Laparoscope surgery； Open surgery； Acute appendicitis； Clinical effect 　　在临床上，急性阑尾炎是较为常见的急腹症，治疗上以手术为主，以往常常采取开腹手术进行治疗，对患者的创伤性较大，并发症较多[1]，腹腔镜技术属于一种新兴微创手术，具有很多优点，例如患者痛苦小、切口小、身体恢复加快等[2-3]。为探析