腹腔镜治疗急性阑尾炎的临床疗效观察

目的评价腹腔镜下治疗急性阑尾炎的临床疗效。方法将需行阑尾切除术的急性阑尾炎患者100例，按入院先后顺序，随机分为对照组（开腹组，OA）和观察组（腹腔镜组，LC），每组各50例。比较两组之间的手术时间、肛门排气时间、止疼药使用率、切口感染率、住院时间、综合治疗费用等临床指标。结果观察组肛门排气时间、止疼药使用率、切口感染率、住院时间、综合治疗费用等均小于开腹组，差异有统计学意义（P〈0．05）；而手术时间比较，差异无显著性（P〉0．05）。结论腹腔镜手术的疗效明显优于开腹手术的疗效，并具有创伤小，恢复怏、感染率低、并发症少等优点。

Laparoscopic in treatment of acute appendicitis

Objective To explore the clinical efficacy of laparoscopic in treatment of acute appendicitis.Methods According to admission order,100 patients requiring surgery with acute appendicitis,were randomly divided into control group and observation group(n=50).The control group received abdominal appendectomy and observation group received laparoscopic appendectomy.The two groups were compared including operative time,time to flatus,pain medication usage,wound infection,hospital stay,overall cost of treatment and other clinical indicators.Results Observation group was predominant on anal exhaust time,pain medication usage,wound infection,hospital stay,overall cost of treatment,compared with control group(P<0.05).Conclusion Laparoscopic surgery is significantly better than open surgery including less trauma and faster recovery,low infection rate and fewer complications.