腹腔镜阑尾切除术与传统术式临床比较.docVIP

腹腔镜阑尾切除术与传统术式临床比较 山东省临沂市妇女儿童医院 摘要：目的：探析腹腔镜阑尾切除术与传统开腹阑尾切除术治疗阑尾炎的临床效 果。方法：选取我院2013年6月至2015年6月收治的急性阑尾炎患者60例， 随机分为对照组和观察组患者各30例。观察组采取腹腔镜阑尾切除术治疗，对 照组采取传统开腹阑尾切除术治疗。比较两组患者并发症情况、住院时间、手术 时间、术中出血量和术后肛门排气时间等临床疗效情况。结果：经治疗，观察组 并发症发生率为0,显著低于对照组16.7%,组间比较異有统计学意义(Plt;0.05)。 此外，观察组手术耗时、术中出血量、术后肛门排气时间、住院时间各指标均显 著优于对照组，组间比较差异显著，具有统计学意义(Plt;0.05)o结论：腹腔 镜阑尾切除术具有微创、耗时短、并发症少、恢复快等优点，可直达病灶有效解 除病情危机，临床应用疗效确切，安全有效，值得推广。 关键词：腹腔镜阑尾切除术：开腹阑尾切除术：阑尾炎 Abstract Objective： To study the clinical effect of laparoscopic appendectomy and traditional open appendectomy in the treatment of appendicitis.Methods： 60 patients with acute appendicitis in our hospital from June 2013 to June 2015 were randomly divided into control group and observation group of patients with 30 cases.The observation group was treated with laparoscopic appendectomy, and the control group was treated with traditional open appendectomy.Complications, hospitalization time, operation time, bleeding volume and postoperative anal exhaust time were compared between the two groups.Results： after treatment, the incidence of complications was 0, which was significantly lower than that in control group ()， which was statistically significant (Plt;0.05) .In addition, the operation time, bleeding volume, postoperative anal exhaust time, hospitalization time of the observation group were significantly better than the control group， the difference was statistically significant (Plt;0.05) .Conclusion： laparoscopic appendectomy has the advantages of minimally invasive， short time， less complications and quick recovery.lt can directly focus on the effective discharge of the disease， the clinical application is effective， safe and effective, it is worth promoting. [Key words]laparoscopic appendectomy； open appendectomy； appendicitis 对于急性阑尾炎的治疗，原则上均应行手术治疗，其中开腹阑尾切除术 一直是临床经典术式，早期曾有人认为阑尾切除术已经是经典和成熟的手术，医 生易于掌握，损伤轻，似乎无必要再行腹腔镜手术［1】。但是近年来随着微创技 术的不断发展，传统开腹手术地位明显下降，而腹腔镜阑尾切除术具冇安全、疗 效好、术后疼痛轻、术后肠粘连少、恢复快等优点，己成为治疗急性阑尾炎的首 选术式［2】。本文就对开腹和腹腔镜两种术式治疗急性阑尾炎的临床应用进行观 察，并比较两种