摘要
目的比较腹腔镜阑尾切除术(LA)与开腹阑尾切除(OA)治疗阑尾炎的效果和成本,分析两者的差异原因。方法回顾性分析2014年1月~2016年11月期间的首都医科大学宣武医院门诊和急诊的495例阑尾炎患者的资料,根据治疗方式不同,将患者分为LA组(实验组,n=441)和OA组(对照组,n=54)。比较两组患者年龄、性别、麻醉分级(ASA)、手术时间、住院时间、抗生素使用时间和总费用等。结果实验组术后住院时间短于对照组,差异有高度统计学意义(P <0.01);实验组手术时间短于对照组,差异有高度统计学意义(P <0.01)。抗生素使用时间实验组短于对照组,差异有高度统计学意义(P <0.01)。实验组术中出血量少于对照组出血量时间,差异有高度统计学意义(P <0.01)。两组总费用比较,差异无统计学意义(P> 0.05)。结论 LA是一种安全、有效的阑尾切除术手术方法,与OA比较,缩短了住院时间、手术时间和抗生素使用时间,出血量少,可作为阑尾炎和腹痛患者的标准治疗方法。
Objective To compare the effects and costs of laparoscopic appendectomy (LA) and open appendectomy (OA) in treating appendicitis, and analyze the reasons for the differences. Methods The data of 495 cases of appendicitis in the Outpatient and Emergency Department of Xuanwu Hospital of Capital Medical University from January 2014 to November 2016 were retrospectively analyzed, according to different treatment methods, patients were divided into LA group (experimental group, n = 441) and OA group (control group, n = 54). Age, sex, anesthesia classification (ASA), operation time, hospitalization time, antibiotic use time and total cost were compared between the two groups. Results The length of stay in the LA group was shorter than the control group, and the difference was highly statistically significant (P < 0.01). The operation time of experimental group was significantly shorter than that of control group, and the difference was highly statistically significant (P < 0.01). The time of antibiotic treatment in experimental group was shorter than that in control group, and the difference was highly statistically significant (P < 0.01). The intraoperative blood loss in experimental group was less than that in control group, the difference was highly statistically significant (P < 0.01). There was no statistically significant difference in total cost between the two groups (P > 0.05). Conclusion LA is a safe and effective surgical method for appendectomy. Compared with OA, LA shortens hospital stay, operation time and antibiotic use time, and reduces blood loss. LA may be the standard treatment for patients with appendicitis and abdominal pain.
作者
赵相坤
朱杰
魏岚
ZHAO Xiangkun;ZHU Jie;Wei Lan(Department of Biomedical Informatics, School of Biomedical Engineering, Capital Medical University, Beijing 100069, China;Department of Information Management, the National Police University for Criminal Justice, Hebei Province, Baoding 071000, China;Department of Information Center, Xuanwu Hospital, Capital Medical University, Beijing 100053, China)
出处
《中国医药导报》
CAS
2019年第19期98-101,共4页
China Medical Herald
基金
国家自然科学基金面上项目(81671786)
首都医科大学基础-临床科研合作基金项目(17JL86)
