小切口阑尾切除术与腹腔镜阑尾切除术的疗效比较

目的：探讨小切口阑尾切除术（OA）与腹腔镜阑尾切除术（LA）的临床疗效。方法：选择2011年3月-2013年3月收治的急性阑尾炎患者90例,据病情、适应症及患者意愿行LA（48例）和OA（42例）,比较两组患者的手术时间、术中出血量、肛门排气时间术、术后进食时间、下床活动时间、术后并发症、住院时间及治疗前后WBC和CRP水平等指标。结果：LA组的术中出血量、肛门排气时间、术后进食时间、下床活动时间、术后并发症、住院时间较OA组明显减少;两组患者术后WBC和CRP水平均低于治疗前,而且LA组治疗后的WBC和CRP水平均低于OA组。结论：LA具有创伤小、康复快、并发症少等优点,其临床疗效明显优于小切口阑尾切除术。

Comparison of Laparoscopic Appendectomy and Small Incision Appendectomy

Objective： To explore clinical efficacy of small incision appendectomy and laparoscopic appendectomy. Method： 90 cases with acute appendicitis were divided into LA group （ 48 cases ） and OA group （ 42 cases ） . Operative time, blood lossamount of flatus surgery, postoperative feeding time, ambulation time, postoperative complications, length of stay, WBC and CHP levels before and after treatment were obsrved in two groups. Result： Blood loss, anal exhaust time, the postoperative feeding time, ambulation time, postoperative complications, length of hospital stay in LA group were significantly shorter than the OA group, and the differences were statistically significant （P〈0.05） . WBC and CRP levels in two group were lower than before treatment, and WBC and CRP levels in LA group after treatment were lower than the OA group after treatment. Conclusion： LA has merits of trauma, faster recovery, fewer complications and its clinical efficacy is superior to the small incision appendectomy.