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目的:比较分析腹腔镜下切除术与传统开腹式手术治疗急性阑尾炎的临床效果。方法:选择2011年1月~2012年12月期间在我院治疗的110例急性阑尾炎患者作为研究对象,进行随机分组,观察组(腹腔镜组)56例,对照组(开放手术组)54例,术后观察2组手术的时间、出血量、并发症、住院费用、住院时间及胃肠功能恢复时间等情况,进行综合分析。结果:观察组中手术时间(min)28.87±5.6,出血量(ml):16.56±3.4,住院时间(d)4.0±0.5,术后并发症(%)1.8,住院费用(元)5631±31,胃肠功能恢复时间(h)26.13±4.6;与对照组相比,差异有统计学意义(P<0.05)。结论:腹腔镜下治疗急性阑尾炎,具备切口小、并发症少、手术时间及住院时间短等方面优点,是治疗急性阑尾炎有效安全的手术方式,值得临床推广应用。
Objective: To comparatively analyze the clinical effect of laparoscopic resection and traditional open surgery in the treatment of acute appendicitis. Methods: A total of 110 patients with acute appendicitis treated in our hospital from January 2011 to December 2012 were randomly divided into observation group (laparoscopic group), control group (open surgery group) 54 cases After operation, the operation time, bleeding volume, complications, hospitalization expenses, length of hospital stay and recovery time of gastrointestinal function were observed and analyzed comprehensively. Results: The operative time (min) 28.87 ± 5.6, the amount of bleeding (ml) 16.56 ± 3.4, the length of hospital stay 4.0 ± 0.5, postoperative complications 1.8%, hospitalization cost 5631 ± 31 , Gastrointestinal function recovery time (h) 26.13 ± 4.6; Compared with the control group, the difference was statistically significant (P <0.05). Conclusion: Laparoscopic treatment of acute appendicitis has the advantages of small incision, less complications, shorter operation time and shorter hospital stay. It is an effective and safe surgical treatment for acute appendicitis and is worthy of clinical application.