腹腔镜阑尾切除术与传统开腹阑尾切除术疗效比较

Comparison of the clinical effects of laparoscopic appendectomy and open appendectomy

摘要: 目的: 比较腹腔镜阑尾切除术与传统开腹阑尾切除术临床疗效。方法: 38例行腹腔镜阑尾切除术,47例行传统开腹阑尾切除术,比较分析2组临床疗效。结果: 2组手术时间差异无统计学意义(P＞0.05),2组患者术中出血量、术后肛门排气时间和住院时间差异均有统计学意义(P＜0.01)。结论: 腹腔镜阑尾切除术具有创伤小、恢复快、并发症少等优点,可以探查全腹腔,对于急腹症诊断不明或有合并症的患者优势显著,值得临床推广应用。

Abstract: Objective: To compare the clinical curative effects of laparoscopic appendectomy(LA)and open appendectomy(OA). Methods: The clinical data of 38 cases treated with LA and 47 cases treated with OA were analyzed retrospectively.Results: The operative time of two groups was not significantly different (P ＞ 0.05).Their intraoperative blood loss and time of first flatus and hospital stay were statisticaly significant (P＜0.01).Conclusions: The advantages of LA are less trauma, fast recovery and less complications.LA can detect the whole abdomen,which has distinct advantages for these patients with unclear diagnosis or complications and worthy of being widely applied in clinic.