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急性阑尾炎腹腔镜手术与传统开腹手术的疗效对比 被引量:34

COMPARATIVE ANALYSIS OF LAPAROSCOPIC APPENDECTOMY AND OPERATION APPENDECTOMY IN PATIENTS WITH ACUTE APPENDICITIS
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摘要 目的对比分析腹腔镜(LA)和开腹阑尾切除术(OA)治疗急性阑尾炎的效果。方法 2006年1月~2009年10月行阑尾切除术治疗急性阑尾炎159例,其中81例行腹腔镜阑尾切除术(LA组),78例行开腹阑尾切除术(OA组)。比较两种术式的切口长度、手术时间、肛门排气时间、术后镇痛药使用率、术后卧床时间、术后并发症发生率。结果 LA组以上各指标和OA组相比较差异有统计学意义(p<0.05),LA组治疗效果优于OA组。结论腹腔镜阑尾切除术具有创伤小、痛苦少、恢复快、住院时间短及并发症少等优点,是治疗急性阑尾炎的理想手术方式。 Objective To compare and evaluate the clinical efficacy oflaparoscopic appendectomy(LA) and operation appendectomy (OA) on the patients with acute appendicitis. Methods From January 2006 to October 2009,159 patients with acute appendicitis underwent operated in our hospital. Among them,81 patients were treated with LA (LA group) and 78 patients with OA (OA group). The Incision length, the operative time, postoperative eating time, anesthetic usage rate, wound infection rate, the hospitalizing days and the incidence of postoperative intestinal obstruction were compared between two groups. Results The difference between two groups was significant (p 〈 0. 05 ) in all above aspect. LA group was superior to OA Group in Clinical efficacy. Coneluslon Laparoscopic appendectomy is more popular choice for the patients with acute appendicitis because of its advantages of minimal invasion, less pain, early recovery, early recovery, and few complication rate and hospitalization time.
出处 《现代医院》 2011年第1期55-56,共2页 Modern Hospitals
关键词 腹腔镜 急性阑尾炎 手术 Laparoscope, Acute appendicitis, Operation
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