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目的评价规模化腹腔镜阑尾切除术(LA)在急性阑尾炎治疗中的应用效果.方法回顾性分析2009年1月~2012年06月遂宁市中心医院495名急性阑尾炎患者接受规模化腹腔镜阑尾切除术的资料.结果有11例中转开腹手术,其余均完成腹腔镜手术,中转率2.2%.手术时间平均35.2分钟,术中出血平均约5.7ml,肛门排气时间为8-12小时,术后1d下床活动,腹腔引流管2-3天拔除,术后穿刺孔感染率0.8%;住院时间平均5.6天;术后出血再手术2例.所有患者全部治愈出院.结论规模化腹腔镜阑尾切除术(LA)是治疗急性阑尾炎安全、高效的方法.“,”Objective To evaluate the application effect of patients who underwent laparo-scopic appendectomy(LA) on a large scale in curing acute appendicitis.Methods The clinical data of 495 patients underwent laparoscopic appendectomy on a large scale in Suining central hospital were retro-spectively analyzed from January 2009 to June 2012.Results 11 cases were transfered to open surgery, the others al complete laparoscopic surgery, conversion rate 2.2%. The operation time was average 35.2 minutes, intraoperative bleeding average 5.7 ml, anal exhaust time 8 to 12 hours, the bed activities in postoperative 1 d.The abdominal cavity drainage tubes were wiped out postoperative 2-3 days, postoperative puncture hole infection rate was 0.8%, hospitalization time was average 5.6 days.2 cases were reoperated for postoperative hemorrhage. Al patients recovered.Conclusion Large-scale laparoscopic appendectomy (LA) in treatment of acute appendicitis is a safe and efficient method.