摘要
目的观察并比较腹腔镜手术和开腹阑尾切除术在治疗穿孔性阑尾炎中的手术效果。方法回顾性分析2009年1月～2011年6月入院治疗的穿孔性阑尾炎患者67例,根据临床资料分为实验组(39例)和对照组(28例)。实验组采用的是腹腔镜阑尾切除术,对照组采用的是开腹阑尾切除术,观察并对比两组的术后排气时间、下床活动时间、住院时间以及术后感染的发生率等。结果与对照组比较,实验组除手术时间较长之外,在下床时间、进食时间、术后住院时间等方面都短于对照组,并且实验组的切口感染发生率为2.56%,对照组为17.86%。结论腹腔镜手术具有微创、术中出血少、并发症少、恢复快的优点,较之开腹切除术更为安全有效,可在临床上推广应用。
Objective To observe and compare the effect of laparoscopic operation and open appendectomy in the treatment of perforated appendicitis in operation. Methods A retrospective analysis from January 2009 to June 2011 was admitted to the hospital for treatment of perforated appendicitis in 67 cases, which were divided into the experimental group of 39 cases and control group of 28 cases according to the clinical data. The experimental group was treated with laparoscopic appendectomy, and the control group was treated with the open appendectomy. Postoperative exhaust time, walking time, duration of hospitalization and postoperative infection rate were observed and compared between the two groups. Results Compared with the control group, time in bed, eating time and postoperative hospital stay of the experimental group were shorter than those in the control group except for a longer operation time. The wound infection rate of the experimental group was 2.56%, and 17.86% in control group. Conclusion Laparoscopic operation is minimally invasive, less bleeding, less complications, quick recovery time, compared with the conversion to open nephrectomy is safe and effective, and can be widely applied in clinical practice.
出处
《中国医药科学》
2012年第18期251-252,共2页
China Medicine And Pharmacy
关键词
腹腔镜
开腹
切除术
穿孔性阑尾炎
疗效
Laparoscopy
Open
Resection
Perforated appendicitis
Curative effect
