腹腔镜阑尾切除术与开腹阑尾切除术治疗急性阑尾炎的临床疗效对比研究

目的 比较腹腔镜阑尾切除术(laparoscopic appendectomy,LA)与开腹阑尾切除术(open appendectomy,OA)的临床效果.方法 择取江阴市青阳医院普外科阑尾手术患者71例,根据手术方式的不同,分为LA组(37例,接受LA治疗),OA组(34例,接受OA治疗),比较两组患者手术情况、疼...

Comparative study on clinical efficacy of laparoscopic appendectomy and open appendectomy in the treatment of acute appendicitis

Objective To compare the clinical effects of laparoscopic appendectomy(LA) and open appendectomy(OA). Method 71 patients undergoing appendectomy in general surgery of Qingyang Hospital of Jiangyin City were selected, they were divided into LA Group(37 cases received LA) and OA group(34 cases received OA). The operation, pain and postoperative complications of the two groups were compared. Result There was no significant difference in the operation time and the first postoperative exhaust time between La group and OA group(P > 0.05);the length of stay in LA group was significantly lower than that in OA group(P < 0.05), but the hospitalization cost in OA group was significantly lower than that in LA group(P < 0.05). The visual analogue scale(VAS) scores at 30 min,12 h and 24 h after operation in LA group were lower than those in OA group(P < 0.05), and the total incidence of complications(5.0%) was significantly lower than that in OA group(18.92%). Conclusion LA can accelerate the rehabilitation of patients with acute appendicitis, reduce postoperative pain and reduce the risk of postoperative complications, but the cost is higher than that of traditional open surgery.