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腹腔镜手术与开腹手术治疗穿孔性阑尾炎的疗效对比
引用本文:张晶锐,李荣江,高峰,邱振雄,黄振华.腹腔镜手术与开腹手术治疗穿孔性阑尾炎的疗效对比[J].西南军医,2016(3):223-225.
作者姓名:张晶锐  李荣江  高峰  邱振雄  黄振华
作者单位:深圳市宝安区中心医院普外科,广东深圳,518102
摘    要:目的:探讨腹腔镜手术与开腹手术对穿孔性阑尾炎的临床治疗效果。方法选取我科2012年4月—2014年4月收治的130例穿孔性阑尾炎患者作为研究对象,随机分为对照组与观察组,每组各65例;对照组患者采用开腹手术治疗,观察组患者采用腹腔镜手术治疗,对比两组患者的临床疗效。结果两组患者的手术时间比较无明显差异(P>0.05);观察组患者的住院时间、肛门排气时间较对照组显著缩短(P<0.05);观察组患者的术后疼痛评分较对照组明显降低(P<0.05);观察组患者术后并发症发生率为4.6%,较对照组的并发症发生率18.5%显著降低(P<0.05)。结论腹腔镜手术治疗穿孔性阑尾炎对患者的创伤小、术后恢复快、并发症少,值得推广应用。

关 键 词:穿孔性阑尾炎  腹腔镜  开腹手术

Curative Effect Comparison between Laparoscopic Appendectomy and Open Appendectomy on Perforated Appendicitis
Abstract:Objective To discuss the clinical effects of laparoscopic appendectomy (LA) and open appendectomy (OA) on perforat-ed appendicitis. Methods 130 cases with perforated appendicitis hospitalized in the period from April, 2012 to April, 2014 were selected and randomly divided into 2 groups:control group and observation group, 65 cases in each;OA was performed on the cases in control group while LA was performed on the cases in observation group;the clinical effects in the 2 groups were compared. Results There ex-isted no obvious difference in operation time between the 2 groups (P>0.05);the duration of hospitalization and the starting time of anus exhaust of the cases in observation group were much shorter than those of the cases in control group (P>0.05);postoperative pain scores of the cases in observation group were much lower than those of the cases in control group (P>0.05);the occurrence of postoperative complications in observation group was 4.6%, obviously lower than that in control group (18.5%) (P>0.05). Conclusions LA leads to smaller wound, quicker recovery and less postoperative complications in cases with perforated appendicitis, and it is worthy of wider clinical application.
Keywords:perforated appendicitis  endoscope  open surgery  curative effect
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