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目的:比较腹腔镜微创手术与传统开腹手术治疗附件疾病的手术优越性。方法:回顾分析2010年1月~2013年12月我科收治的186例附件疾病患者的临床资料,其中86例行腹腔镜手术,100例行开腹手术,比较2组术中出血量、手术时间肛门排气时、住院时间、术后病率等。结果:腹腔镜术中出血量、手术时间肛门排气时、住院时间、术后病率等均明显优于开腹组,差异有统计学意义(P<0.05)。结论:腹腔镜手术治疗附件疾病与开腹手术相比,不但能起到开腹手术的效果,而且具有创伤小、切口美观不明显、恢复快、临床效果肯定等优点,具有明显优越性。
Objective: To compare the advantages of laparoscopic minimally invasive surgery and traditional laparotomy for the treatment of accessory diseases. Methods: The clinical data of 186 patients with accessory diseases admitted in our department from January 2010 to December 2013 were retrospectively analyzed. Among them, 86 cases underwent laparoscopic surgery and 100 underwent open surgery. The blood loss, Time anal exhaust, hospital stay, postoperative morbidity and so on. Results: The amount of bleeding during laparoscopic surgery, the time of operation anal exhaust, hospitalization time and postoperative morbidity were significantly better than that of the open group (P <0.05). Conclusion: Compared with laparotomy, laparoscopic surgery can not only have the effect of laparotomy, but also have the advantages of less trauma, less obvious incision, quick recovery and definite clinical effect.