三孔法无肽夹腹腔镜阑尾切除术80例临床观察

目的：研究三孔法无肽夹腹腔镜阑尾切除术的临床疗效。方法：选择2006年1月至2013年4月就诊的160例阑尾炎患者进行研究。随机均分为实验组和对照组。实验组采用三孔法无肽夹腹腔镜阑尾切除术进行治疗，对照组采用传统开腹阑尾切除术进行治疗。结果：实验组患者的手术时间无显著性差异（P〉0．05），实验组患者的住院时间、术后下床时间及术后肛门排气时间明显短于对照组，两组比较有统计学意义（P〈0．01）。实验组患者术后镇痛药使用率（8．8％）明显低于对照组（37．5％），两组比较有统计学意义（X2=18．5981，P=0．0000）；实验组患者的切口感染率（2．5％）明显低于对照组（23．8％），两组比较有统计学意义（X2=15．8410，P=0．0001）。结论：三孔法无肽夹腹腔镜阑尾切除术治疗阑尾炎的临床疗效显著，可显著改善临床疗效。

The Clinical Observation of Three Holes Method without Peptide for 80 cases with Laparoscopic Appendectomy

Objective： To study the clinical efficacy of treatment of three holes without peptide laparoscopic appendectomy. Methods： 160 cases patients from January 2009 to April 2013 were studied. They were randomly divided into experimental and control groups. Experimental group, three holes without peptide laparoscopic appendectomy treatment of patients in the control group were used conventional open appendectomy treatment of patients. Results： After treatment, the operative time of experimental group and control group were no significant difference （ P 〉 0. 05 ）, the hospitalization time, postoperative ambulation time and anal discharge air time of the experimental group were significantly shorter than the control group, two groups were statistically significant （P 〈 0. 01 ）. After sur- gery, the analgesic usage （ 8. 8% ） of the experimental group was significantly lower than the control group （ 37.5% ）, two statistically were significant （X2 = 18. 5981, P = 0. 0000） ; the wound infection （2. 5% ） of experimental group was significantly lower than the control group （23.8%）, the two groups were statistically significant （X2 = 15. 8410, P = 0. 0001 ）. Conclusion： The three holes without peptide laparoscopic appendectomy for treating appendicitis is significant clinical effect, can significantly improve the clinical efficacy of the treatment.