摘要
目的分析腹腔镜手术与开腹手术治疗阑尾炎的临床疗效。方法 50例阑尾炎患者,随机分成对照组及观察组,各25例。对照组采用开腹阑尾切除术治疗,观察组采用腹腔镜阑尾切除术治疗。比较两组患者的手术耗时、术中出血量、排气时间、住院时间、并发症发生情况。结果观察组患者手术耗时(73.4±9.4)min长于对照组(50.8±6.2)min,术中出血量(35.9±6.2)ml少于对照组(52.4±12.3)ml,排气时间(26.9±3.6)h早于对照组(42.8±5.3)h,住院时间(4.1±1.0)d短于对照组(8.2±1.4)d,差异均具有统计学意义(P<0.05)。观察组并发症发生率8.0%低于对照组32.0%,差异具有统计学意义(χ~2=4.5,P<0.05)。结论相较于开腹手术,腹腔镜手术治疗阑尾炎患者的临床效果更优且安全性更高,更具推广价值。
Objective To analyze the clinical curative effect of laparoscopic surgery and laparotomy inthe treatment of appendicitis.Methods A total of50appendicitis patients were randomly divided into controlgroup and observation group,with25cases in each group.The control group received open appendectomy fortreatment,and the observation group received laparoscopic appendectomy for treatment.Comparison were made onoperation time,intraoperative bleeding volume,evacuation time,hospital stay time and complications occurrencein two groups.Results The observation group had longer operation time as(73.4±9.4)min than(50.8±6.2)minin the control group,less intraoperative bleeding volume as(35.9±6.2)ml than(52.4±12.3)ml in the controlgroup,earlier evacuation time as(26.9±3.6)h than(42.8±5.3)h in the control group,and shorter hospital staytime as(4.1±1.0)d than(8.2±1.4)d in the control group.Their difference had statistical significance(P<0.05).The observation group had lower incidence of complications as8.0%than32.0%in the control group,and thedifference had statistical significance(χ2=4.5,P<0.05).Conclusion Compared with laparotomy,laparoscopicsurgery shows better clinical effect,higher safety and promotion value.
作者
黄陈海
陈朝宇
时文哓
喻逢春
HUANG Chen-hai;CHEN Zhao-yu;SHI Wen-xiao(Department One of Surgery, Dongguan City Mayong Hospital, Dongguan 523142, China)
出处
《中国现代药物应用》
2017年第11期57-59,共3页
Chinese Journal of Modern Drug Application
关键词
腹腔镜手术
开腹手术
阑尾炎
Laparoscopic surgery
Laparotomy
Appendicitis