分析腹腔镜阑尾切除术治疗急性阑尾炎的临床疗效观察(1)
[摘要] 目的 分析腹腔镜阑尾切除术治疗急性阑尾炎的临床疗效。方法 随机选取该院于2013年1月—2014年1月收治的80例急性阑尾炎患者进行临床疗效分析，将患者分为40例观察组和40例对照组。观察组采用腹腔镜阑尾切除术，对照组采用开腹阑尾切除术。观察两组患者临床治疗情况。 结果 观察组患者在住院时间、手术时间、手术中的出血量分别为(3±0.13)d、(45.3±7.29)min、(3.12±1.11)mL都明显少于对照组患者(9±1.24)d、(43.2±6.65)min、(6.72±3.1)mL，两组差异有统计学意义，P<0.05，且无不良反应，采用腹腔镜阑尾切除术的临床疗效优于采用开腹阑尾切除术。同时，观察组在进行腹腔镜阑尾切除术后切口的感染率为5%，而对照组患者进行开腹阑尾切除术后切口的感染率为25%，因此，观察组患者的切口感染率显著低于对照组患者的切口感染率，两组患者之间的比较差异有统计学意义(P<0.05)。 结论 采用腹腔镜阑尾切除术治疗急性阑尾炎患者在临床治疗上有显著的效果，值得推广和应用。
[关键词] 腹腔镜阑尾切除术；开腹阑尾切除术；急性阑尾炎；临床疗效
[中图分类号] R615 [文献标识码] A [文章编号] 1674-0742(2015)09(a)-0069-02
Analysis of the Clinical Curative Effect of Laparoscopic Appendectomy for Acute Appendicitis
LI Xue-feng
Department of Gastrointestinal Surgery， Second People's Hospital of Changshu， Changshu， Jiangsu Province， 215500 China
[Abstract] Objective To analyze the clinical curative effect of laparoscopic appendectomy for acute appendicitis. Methods 80 patients suffering from acute appendicitis admitted to our hospital between January 2013 and January 2014 were selected as the research object. They were divided into observation group and control group with 40 in each in one. Laparoscopic appendectomy and open appendectomy were performed in them respectively. The treatment of the two groups was observed. Results The hospitalization time[(3±0.13)d vs(9±1.24)d]， operation duration [(45.3±7.29)min vs(43.2±6.65)min]， intraoperative bleeding volume[(3.12±1.11)mLvs(6.72±3.1)mL] were all significantly less in the observation group than in the control group with statistical differences， P<0.05， in addition， no complication was found in the observation group， therefore the efficacy of laparoscopic appendectomy was superior to that of open appendectomy. Further more， the incision infection rate (5% vs 25%) was significantly lower in the observation group than in the control group with statistical difference， P<0.05. Conclusion Laparoscopic appendectomy for acute appendicitis patients has a significant effect， therefore it is worthy of popularization and application.
[Key words] Laparoscopic appendectomy； Open appendectomy； Acute appendicitis； Clinical curative effect
急性阑尾炎在医学临床上是较为常见的多发疾病之一，也是极为少见的一种急腹症状[1]。过去治疗急性阑尾炎多采用传统的开腹阑尾切除术，自德国SEMMK于1983年报道出首例腹腔镜阑尾切除术以来，很快便得到认可，它具有创伤小以及恢复快且并发症极少等的优点，成为了当代医学临床治疗急性阑尾炎的主要方法。该研究随机选取2013年1月—2014年1月该院收治的80例急性阑尾炎患者为研究对象，将对腹腔镜阑尾切除术治疗急性阑尾炎的临床疗效进行研究和分析，现报道如下。
1 资料与方法
1.1 一般资料
随机选取该院收治的80例急性阑尾炎患者进行研究分析，将患者分为40例观察组和40例对照组。观察组男性有25例，女性有15例，年龄为21～45岁，平均年龄为25岁，其中，患有急性单纯性阑尾炎的患者有15例，急性化脓性阑尾炎有15例，急性坏疽性阑尾炎患者有10例；对照组男性有30例，女性有10例，年龄为20～46岁，平均年龄为28岁，患有急性单纯性阑尾炎的患者有18例，急性化脓性阑尾炎有12例，急性坏疽性阑尾炎患者有10例。两组患者在性别、年龄等方面比较差异无统计学意义(P>0.05)。, 百拇医药(李雪峰)
[关键词] 腹腔镜阑尾切除术；开腹阑尾切除术；急性阑尾炎；临床疗效
[中图分类号] R615 [文献标识码] A [文章编号] 1674-0742(2015)09(a)-0069-02
Analysis of the Clinical Curative Effect of Laparoscopic Appendectomy for Acute Appendicitis
LI Xue-feng
Department of Gastrointestinal Surgery， Second People's Hospital of Changshu， Changshu， Jiangsu Province， 215500 China
[Abstract] Objective To analyze the clinical curative effect of laparoscopic appendectomy for acute appendicitis. Methods 80 patients suffering from acute appendicitis admitted to our hospital between January 2013 and January 2014 were selected as the research object. They were divided into observation group and control group with 40 in each in one. Laparoscopic appendectomy and open appendectomy were performed in them respectively. The treatment of the two groups was observed. Results The hospitalization time[(3±0.13)d vs(9±1.24)d]， operation duration [(45.3±7.29)min vs(43.2±6.65)min]， intraoperative bleeding volume[(3.12±1.11)mLvs(6.72±3.1)mL] were all significantly less in the observation group than in the control group with statistical differences， P<0.05， in addition， no complication was found in the observation group， therefore the efficacy of laparoscopic appendectomy was superior to that of open appendectomy. Further more， the incision infection rate (5% vs 25%) was significantly lower in the observation group than in the control group with statistical difference， P<0.05. Conclusion Laparoscopic appendectomy for acute appendicitis patients has a significant effect， therefore it is worthy of popularization and application.
[Key words] Laparoscopic appendectomy； Open appendectomy； Acute appendicitis； Clinical curative effect
急性阑尾炎在医学临床上是较为常见的多发疾病之一，也是极为少见的一种急腹症状[1]。过去治疗急性阑尾炎多采用传统的开腹阑尾切除术，自德国SEMMK于1983年报道出首例腹腔镜阑尾切除术以来，很快便得到认可，它具有创伤小以及恢复快且并发症极少等的优点，成为了当代医学临床治疗急性阑尾炎的主要方法。该研究随机选取2013年1月—2014年1月该院收治的80例急性阑尾炎患者为研究对象，将对腹腔镜阑尾切除术治疗急性阑尾炎的临床疗效进行研究和分析，现报道如下。
1 资料与方法
1.1 一般资料
随机选取该院收治的80例急性阑尾炎患者进行研究分析，将患者分为40例观察组和40例对照组。观察组男性有25例，女性有15例，年龄为21～45岁，平均年龄为25岁，其中，患有急性单纯性阑尾炎的患者有15例，急性化脓性阑尾炎有15例，急性坏疽性阑尾炎患者有10例；对照组男性有30例，女性有10例，年龄为20～46岁，平均年龄为28岁，患有急性单纯性阑尾炎的患者有18例，急性化脓性阑尾炎有12例，急性坏疽性阑尾炎患者有10例。两组患者在性别、年龄等方面比较差异无统计学意义(P>0.05)。, 百拇医药(李雪峰)
参见：首页 > 医疗版 > 疾病专题 > 胃肠外科 > 小肠、结肠疾病 > 阑尾炎 > 急性阑尾炎