摘要
目的观察比较腹腔镜手术与开腹手术治疗老年急性阑尾炎的临床疗效及优缺点.方法回顾性分析20例腹腔镜阑尾切除术(LA)患者与同期22例开腹阑尾切除术(OA)患者的临床资料,比较两种手术方法在切口平均长度、手术时间、下床活动时间、术后镇痛、术后肛门排气时间、术后切口感染率、住院总时间、住院总费用等方面的差异.结果两组在切口平均长度、下床活动时间、术后镇痛、术后肛门排气时间、术后切口感染率、住院总时间上比较有统计学意义(P<0.05),而在手术时间、住院总费用上比较无差异(P>0.05).结论腹腔镜手术在老年性急性化脓性阑尾炎的疗效明显优于开腹手术,并具有创伤小、恢复快、并发症少等优点.
Objective To observe and compare the effect of laparoscopic appendectomy(LA)and open appendectomy(OA)in eldly patients with acute suppurative appendicitis.Methods We retrospectively analyzed the clinical data of 20 cases of laparoscopic appendectomy and 22 cases of open appendectomy.We compared the differences between the two methods in the average incision size,operation time,ambulation time,postoperative pain relievers utilization rate,postoperative anal exhaust time,incision infection rates,hospitalization time and hospitalization total cost.Results There were significant differences between laparoscopic appendectomy and open appendectomy in these indexes(P<0.05),except the operation time and hospitalization total cost(P>0.05).Conclusion Compared with open appendectomy,laparoscopic appendectomy has much better effects for the eldly patients with acute suppurative appendicitis because of its advantages of minimal invasion,early recovery and few complications.
出处
《昆明医学院学报》
2011年第12期125-127,共3页
Journal of Kunming Medical College
关键词
腹腔镜
阑尾炎
化脓
老年
Laparoscope
Appendicitis
Purulency
Elderly
