腹腔镜阑尾切除术和传统阑尾切除术治疗急性阑尾炎研究比较.docVIP

腹腔镜阑尾切除术和传统阑尾切除术治疗急性阑尾炎研究比较 　　[摘要] 目的 观察腹腔镜阑尾切除术与传统阑尾切除术治疗急性阑尾炎的疗效。 方法 选择2016年6月～2017年1月采用腹腔镜手术治疗的52例急性阑尾炎患者作为腹腔镜组，另选择同期行传统开腹阑尾切除术治疗的56例急性阑尾炎患者作为对照组。 结果 腹腔镜组无一例中转开腹。腹腔镜组患者的切口长度明显短于对照组，腹腔镜组的术中出血量明显少于对照组，腹腔镜组患者的肛门排气时间及住院时间明显短于对照组（P0.05）。腹腔镜组患者的VAS评分明显低于对照组（P0.05）。两组手术均顺利完成，无大出血、肠瘘等严重并发症发生。腹腔镜组1例术后发生切口感染，提前拆线，每日定时换药清创后治愈。对照组3例腹腔脓肿形成，放置引流管，出院时间延长至术后1周。腹腔镜组的并发症发生率仅5.8%，显著低于对照组28.6%（P0.05）。 结论 与传统阑尾切除术比较，腹腔镜阑尾切除术治疗急性阑尾炎手术效果更具有优势。 　　[关键词] 急性阑尾炎；腹腔镜阑尾切除术；传统阑尾切除术；并发症 　　[中图分类号] R656.8 [文献标识码] B [文章编号] 1673-9701（2017）08-0041-03 　　[Abstract] Objective To observe the curative effect of laparoscopic appendectomy and traditional appendectomy for acute appendicitis. Methods 52 cases of acute appendicitis were selected and treated by laparoscopy as the laparoscopic group from June 2016 to January 2017， 56 cases of acute appendicitis were selected for traditional appendectomy treatment as the control group at the same time. Results There was no conversion to laparotomy in laparoscopic group. The length of incision laparoscopic group were significantly shorter than the control group， the amount of bleeding in laparoscopic group was significantly less than the control group， the laparoscopic group of patients with anal exhaust time and hospitalization time was significantly shorter than the control group（P0.05）. The VAS score of patients in the laparoscopic group was significantly lower than that in the control group（P0.05）. Two groups were successfully completed surgery， no serious complications of bleeding and intestinal fistula. 1 case in aparoscopic group was wound infection postoperative， early removal of stitches， and daily change of dressing after debridement and cured. In the control group， 3 cases of abdominal abscess were formed， and the drainage tube was placed， and the discharge time was extended to 1 week after operation. The complication rate of laparoscopic group was 5.8%， which was significantly lower than that of control group’ 28.6% （P0.05）. Conclusion Compared w