摘要
目的探讨腹腔镜阑尾切除术与传统开腹手术治疗急性化脓性阑尾炎的疗效。方法选取我科2007年7月至2010年7月急性阑尾炎患者90例,其中腹腔镜治疗组45例,开腹治疗组45例。回顾分析两种手术的治疗效果,比较两种手术的手术时间、术后残余感染率、肛门排气时间、术后胃肠道功能恢复时间等方面的差异。结果两组患者在术后无严重并发症,其中腹腔镜组在手术时间、腹腔残余感染率、肛门排气时间、术后胃肠道功能恢复时间等方面显著低于开腹手术组,差异有统计学意义(P<0.05)。结论腹腔镜治疗急性化脓性阑尾炎安全,有效,治疗效果优于常规开腹手术。
Objective To explore the clinical effects of laparoscopic appendectomy and traditional open surgery for acute suppffrativeappendicitis. Methods 90 patients with acute appendicitis in our department from July 2008 to July 2011 were selected and divided into two groups: lparoscopic treatment group (45 cases), open treatment group (45 cases). The therapeutic effects of two surgerieswere analysed retrospectively; the differences in operation time, postoperative residual infection rates, anal exhaust time and postoperative gastrointestinal restoration time were compared. Results No serious complication occurred in all patients. The operation time, postoperative residual infection rates, anal exhaust time and post-operative gastrointestinal restoration time in lparoscopic treatment group were lower than those in open treatment group, and the differences between the two groups had statistical significance (P〈0.05). Conclusion Laparoscopic treatment of acute suppurative appendicitis is safe and effective, with better treatment effect than conventional open surgery.
出处
《临床医学工程》
2012年第2期253-254,共2页
Clinical Medicine & Engineering
关键词
急性化脓性阑尾炎
腹腔镜
开腹手术
Acute suppurative appendicitis
Laparoscope
Open surgery