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目的:比较急性阑尾炎开腹切除术与腹腔镜切除术的临床疗效。方法:收集我院2010-2011年收治的急性阑尾炎手术切除患者182例,分成两组,其中,开腹组(OA组)90例选择开腹切除,腹腔镜组(LA组)92例选择腹腔镜切除,采用t和x2检验比较两组的手术并发症情况。结果:腹腔镜手术与开腹手术组均未出现死亡病例,但LA组的并发症发生率、胃肠功能恢复时间、住院时间较OA组明显减少(p<0.05),而住院费用则明显增加(p<0.05),手术时间和术中出血量亦无明显减少(P>0.05)。结论:腹腔镜治疗急性阑尾炎与开腹手术一样安全可靠,且在疗效方面比开腹手术好。
Objective: To compare the clinical efficacy of open excision and laparoscopic resection of acute appendicitis. Methods: A total of 182 patients with acute appendicitis who underwent surgery in our hospital from 2010 to 2011 were divided into two groups. Among them, 90 patients in the open group (OA group) underwent laparotomy and 92 patients in the laparoscopic group (LA group) Microscopic resection, using t and x2 test comparisons of the two groups of surgical complications. Results: No deaths occurred in laparoscopic or open surgery group. However, the incidence of complications, the recovery time of gastrointestinal function and hospital stay in LA group were significantly lower than those in OA group (p <0.05), while the cost of hospitalization was significantly increased (p <0.05). There was no significant difference in operative time and intraoperative blood loss (P> 0.05). Conclusions: Laparoscopic treatment of acute appendicitis is as safe as open surgery and more effective than open surgery.