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目的比较急性阑尾炎腹腔镜切除术与传统开腹切除术的临床疗效,了解腹腔镜切除术较传统切除术的优势。方法回顾分析64例急性阑尾炎患者的临床资料,从手术所需时间、出血量、住院时间及费用、术后恢复情况等方面作对比,分析两种手术方法的差异。结果腹腔镜阑尾切除术与开腹阑尾切除术两种手术方法的适应症基本相同,腹腔镜组的术后并发症的发生率、平均住院时间、术后恢复时间等方面明显优于开腹组(p<0.05)。结论腹腔镜阑尾切除术与开腹阑尾切除术比较具有明显的优势,可作为急性阑尾炎治疗的首选术式。
Objective To compare the clinical effects of laparoscopic resection of acute appendicitis with traditional open resection and understand the advantages of laparoscopic resection over traditional resection. Methods The clinical data of 64 patients with acute appendicitis were retrospectively analyzed. The differences of the two surgical methods were analyzed in terms of the time required for operation, the amount of bleeding, the length of hospital stay, the cost and postoperative recovery. Results The indications of laparoscopic appendectomy and open appendectomy were basically the same. The incidence of postoperative complications, average length of hospital stay and postoperative recovery time in laparoscopic group were significantly better than those in open group (p <0.05). Conclusion Laparoscopic appendectomy compared with open appendectomy has obvious advantages and can be used as the preferred surgical treatment of acute appendicitis.