[摘要] 目的 比较腹腔镜与开腹行阑尾切除术的临床效果。方法 方便选取2015年2月—2017年6月该院收治的120例阑尾炎患者，其中58例行開腹阑尾切除术，作为对照组；62例行腹腔镜阑尾切除术，作为观察组，对两组患者手术情况、不良反应发生率及临床治疗总有效率进行综合评价。结果 观察组患者手术时间、术中出血量、肛门通气时间、住院时间分别为(42.42±10.74)min、(11.46±2.12)mL、(2.52±1.55)d、(4.41±1.36)d，显著优于对照组，差异有统计学意义(P<0.05)；观察组治疗后仅有3例出现不良反应，占4.84%，与对照组相比差异有统计学意义(P<0.05)。结论 采用腹腔镜阑尾切除术治疗阑尾炎，手术时间短、术中出血量少，术后不良反应少，具有较高的安全性，疗效优于传统开腹阑尾切除术，值得推广应用。

    [关键词] 腹腔镜阑尾切除；开腹阑尾切除术；不良反应；临床疗效

    [中图分类号] R656 [文献标识码] A [文章编号] 1674-0742(2017)10(b)-0062-03

    [Abstract] Objective This paper tries to compare the clinical effect of laparoscopic and laparoscopic appendectomy. Methods 120 patients with acute and chronic appendicitis who were treated in this hospital from February 2015 to June 2017 were conveniently selected as the study subjects. 58 of them were treated with laparoscopic appendectomy and regarded as the control group. 62 patients underwent laparoscopic were selected as the observation group and the operation condition ......