摘要
目的研究腹腔镜辅助阑尾切除术（ＶＡＡ）的临床应用价值．方法作者就开腹阑尾切除术（ＯＡ）１００例（Ａ组）、腹腔镜阑尾切除术（ＬＡ）５０例（Ｂ组）与ＶＡＡ１００例（Ｃ组）的手术时间、术后切口疼痛程度（未使用止痛剂例数及百分比）、术后胃肠功能恢复时间、术后进食时间、术后恢复正常活动时间、输液天数、住院天数、并发症及住院费用等项指标进行了对比．结果Ａ组手术时间、术后切口疼痛程度、胃肠功能恢复时间、进食时间、恢复正常活动时间、输液天数及住院天数均明显长于Ｂ，Ｃ两组（Ｐ＜００５，Ｐ＜００５）；Ｂ，Ｃ两组间上述指标无差异（Ｐ＞００５）．Ａ组手术并发症９例，其中切口感染６例，肠粘连３例；Ｂ，Ｃ两组均无手术并发症．Ｂ组住院费用明显高于Ａ，Ｃ两组（￥３７００±５００ｖｓ￥１２００±３００，Ｐ＜００１；￥３７００±５００ｖｓ￥１５００±２００，Ｐ＜００１）；Ａ，Ｃ两组间住院费用无明显差异（Ｐ＞００５）．结论腹腔镜辅助阑尾切除术优于开腹及腹腔镜阑尾切除术，值得推广应用．
AbstractAIM To study the clinical value of video-assisted appendectomy (VAA).METHODS Comparisons were made among three groups (open appendectomy, OA, 100 patients, group A; laparoscopic appendectomy, LA, 50 patients, group B; and VAA, 100 patients, group C) in duration of operation, pain response of the incision, the time of gestrointestinal function recovery and taking diet, normal activities and exercises recovery, duration of intravenous infusion and hospitalization, as well as postoperative complications and the expenses.RESULTS Group A was much longer than group B and C (P<0.05,P<0.05) in the duration of operation, pain response of the incision, the time of gestrointestinal function recovery, and taking diet, normal activities and exercises recovery, duration of intravenous infusion and hospitalization. There was no difference between groups B and C in above parameters (P>0.05). There were 9 with complications (6 with infection of incisional wound, 3 with intestinal adhesion) in group A, but no complications occurred in groups B and C. The expenses (RMB) of group B were much more than those of groups A and C (3700±500 vs 1200±300,P<0.01; 3700±500 vs 1500±200,P<0.01), and the expenses of group C were not different from those of group A (P>0.05).CONCLUSION Video-assisted appendectomy is superior to open appendectomy and laparoscopic appendectomy.
