腹腔镜与开腹阑尾切除术的对比研究

目的比较腹腔镜阑尾切除术(laparoscopicappendectomy,LA)与开腹阑尾切除术(openappendectomy,OA)的适应证、安全性及临床效果。方法回顾性对比分析168例LA与同期216例OA的临床资料。结果比较两组病人术后下床活动时间、术后排气时间、疼痛评分、止痛药使用率和术后并发症发生率,LA组均优于OA组(P<0.05),但手术时间和综合费用无显著差异(P>0.05)。结论与OA相比,LA具有适应证广、安全性高、创伤小、痛苦少、恢复快,可同时进行腹腔和盆腔的探查与处理的优势。

A Comparative Study of Laparoscopic Appendectomy versus Open Appendectomy

Objective To compare the indication, risk and therapeutic effects of laparoscopic appendectomy (LA) with open appendectomy (OA). Methods A retrospective comparative analysis were performed in LA group (n=168) and OA group (n=216). Result LA was associated with a shorter duration of restoration of out-of-bed activity and bowel movement, a lower pain scoring, a less analgesic intake and a reduced complication rate(P<0.05). There was no significant difference between two groups in terms of operative duration and cost(P>0.05). Conclusion LA demonstrates the advantages of low risk, less invasion, rapid recovery and applicability of synchronous exploration of pelvic disorders.