微创手术用于急性阑尾炎的疗效研究

目的：对临床常用的微创及开腹手术在急性阑尾炎治疗中的疗效及安全性进行比较。方法：选取本院2010年3月-2012年3月两年间采用手术治疗的急性阑尾炎患者94例为研究对象,将其随机分为两组,每组47例。对照组使用传统的开腹手术进行治疗;观察组使用腹腔镜微创手术治疗。比较两组的临床疗效、术中数据及安全性。结果：观察组的有效率为89.4%,对照组为91.5%,差异无统计学意义（P〉0.05）;观察组在安全性、手术创口、术中出血量、并发症及患者的治疗依从性方面均优于对照组,差异具有统计学意义（P〈0.05）。结论：微创手术在急性阑尾炎的治疗中具有有效率高、安全性高、治疗依从性高等优势,具有重要的临床价值。

Operation Curative Effect Analysis of Minimally Invasive Surgery Applied on Acute Appendicitis

Objective： To compare curative effect and security of minimally invasive surgery and laparotomy in the treatment of acute appendicitis. Method： 94 cases of acute appendicitis treated by operation were selected from March 2010 and March 2012, and randomly divided into two groups , 47 cases in each group. Control group adopted traditional laparotomy and observation group adopted laparoscope minimally invasive surgery. After treatment, the curative effect, data in operation and security of two groups were compared.Result： Observation group＇s effective rate was 89~4% and control group＇s was 91.5%, there was no significant differences （P〉0.05） .The security, operation wound, operative blood loss, complication, treatment adherence of observation group were better than those of control group, the differences had significant differences （P〈0.05） . Conclusion： Minimally invasive surgery have high efficient; high security and treatment adherence in the treatment of acute appendicitis. It is worth to clinical promotion.