摘要
目的:探讨腹腔镜和开腹阑尾切除术在治疗成人急性复杂性阑尾炎中的疗效。方法:回顾性分析2011-2013年本院收治的176例成人急性复杂性阑尾炎患者的临床资料,其中腹腔镜阑尾切除术(LA)86例,开腹阑尾切除术(OA)90例,比较两组手术情况和治疗效果。结果:手术时间:LA组为(90.5±22.4)min,OA组为(91.8±28.3)min,差异无统计学意义(P=0.512)。术中出血量:LA组较OA组少[(10.6±7.5)mL vs(23.8±6.2)mL,P=0.022);术后肛门排气时间:LA组较OA组短[(29.4 h±3.8)h vs(48.3±7.4)h,P<0.001];术后住院时间:LA组较OA组短[(6.1±2.2)d vs(11.6±3.2)d,P<0.001];术后24 h镇痛药物应用:LA组15例,OA组78例(P<0.001);切口感染:LA组3例,OA组27例(P<0.001);术后肠梗阻:LA组1例,OA组5例,差异有统计学意义(P=0.035);术后腹腔脓肿:LA组1例,OA组6例,差异有统计学意义(P=0.024)。结论:LA是治疗成人急性复杂性阑尾炎的一种安全有效的手术方式。
Objective：To explore the efficacy of laparoscopic appendectomy（LA）versus open appendectomy（OA）in the treatment of complicated adult appendicitis.Method：A total of 176 adult with complicated appendicitis who underwent either LA（LA group,n=86）or OA（OA group,n=90）from 2011 to 2013 were retrospectively analyzed. The surgical outcomes and therapeutic effects were compared between the two groups.Result：The operative time：LA group（90.5±22.4）min, OA group（91.8±28.3）min（P=0.512）. The amount of bleeding：LA group was less than OA group[（10.6±7.5）mL vs （23.8±6.2）mL,P=0.022）. The time required for postoperative restoration of anal exhaust was significantly shorter in the LA group than in the OA group[（29.4±3.8）h vs（48.3±7.4）h,P〈0.001）];Postoperative hospital stay in the LA group was significantly shorter than that in the OA group[（6.1±2.2）d vs（11.6±3.2）d,P〈0.001）].Application of analgesic drugs in 24 hours after operation occurred 15 cases in the LA group and 78 cases in the OA group（P〈0.001）. Wound infection occurred 3 cases in the LA group and 27 cases in the OA group（P〈0.001）.Bowel obstruction occurred 1 case in the LA group and in 5 cases in the OA group（P=0.035）.Postoperative intraabdominal abscess occurred in 1 case in the LA group and in 6 cases in the OA group（P=0.024）.Conclusion：LA is safe and effective in the treatment of complicated appendicitis.
出处
《中国医学创新》
CAS
2014年第8期144-146,共3页
Medical Innovation of China
