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目的为了研究对比腹腔镜与开腹手术治疗急性阑尾炎的临床疗效。方法回顾性分析2009年4月至2012年4月期间在我院治疗的急性阑尾炎患者92例病例资料,所有患者按照治疗方法分组:行腹腔镜阑尾切除术的治疗组50例,行开腹阑尾切除术的对照组42例,治疗后统计各组平均手术时间,术后下床活动时间,术后进食时间以及伤口感染情况,统计学t检验方法检验两组间的治疗结果是否具差异有统计学意义。结果治疗组平均手术时间(50.2±4.2)min,术后下床活动时间(12.5±2.8)h,术后平均进食时间(25.1±4.8)h,伤口感染率2%(1例/50例),对照组平均手术时间(53.1±4.8)min,术后下床活动时间(20.5±4.1)h,术后平均进食时间(40.8±6.6)h,伤口感染率11.9%(5例/42例),两组治疗结果有统计学差异(P<0.05)。结论腹腔镜阑尾切除术治疗急性阑尾炎具有满意的临床效果。
Objective To study the clinical efficacy of laparoscopic versus open surgery in the treatment of acute appendicitis. Methods The clinical data of 92 patients with acute appendicitis treated in our hospital from April 2009 to April 2012 were retrospectively analyzed. All patients were grouped according to the method of treatment: 50 patients underwent laparoscopic appendectomy, 42 cases of control group after resection, after treatment, the average operation time, postoperative ambulation time, postoperative eating time and wound infection, statistical t test to test whether the treatment results between the two groups are statistically significant Significance of learning. Results The average operation time (50.2 ± 4.2) min, postoperative ambulation time (12.5 ± 2.8) h, postoperative average eating time (25.1 ± 4.8) h and wound infection rate of 2% (1 patient / 50 patients) (53.1 ± 4.8) min in control group, 20.5 ± 4.1 h in ambulation after operation, average postprandial feeding time (40.8 ± 6.6) h and wound infection rate of 11.9% (5 cases / 42 cases) There was significant difference between the two groups (P <0.05). Conclusion Laparoscopic appendectomy has a satisfactory clinical effect in the treatment of acute appendicitis.