| 蒋安科 周庆 李强 李博 鄢传经.腹腔镜阑尾切除术与开腹阑尾切除术治疗急性阑尾炎的疗效比较[J].,2015,15(24):4710-4712 |
| 腹腔镜阑尾切除术与开腹阑尾切除术治疗急性阑尾炎的疗效比较 |
| Comparison of Effect Between Laparoscopic Appendectomy and OpenAppendectomy for Acute Appendicitis |
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| DOI： |
| 中文关键词: 急性阑尾炎 腹腔镜阑尾切除术 开腹阑尾切除术 手术效果 |
| 英文关键词: Acute appendicitis Laparoscopic appendectomy Open appendectomy Operation effect |
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| 中文摘要: |
| 目的：比较腹腔镜阑尾切除术和开腹阑尾切除术治疗急性阑尾炎的临床疗效。方法：选取2012 年3 月-2014 年3 月我院收
治的急性阑尾炎患者127 例，按照随机数字表法分为两组，观察组63 例行腹腔镜阑尾切除手术，对照组64 例行开腹阑尾切除手
术，比较两组的手术效果及术后并发症情况。结果：两组的手术时间差异无统计学意义（P>0.05），观察组术中出血量、肛门排气时
间及住院时间均低于对照组，差异有统计学意义（P<0.05）。两组治疗后VAS评分较治疗前有不同程度的降低，且观察组低于对照
组，差异有统计学意义（P<0.05）。观察组切口感染、肠梗阻以及腹腔脓肿发生率均低于对照组，差异有统计学意义（P<0.05），而两
组腹腔内出血、阑尾残端瘘的发生率比较，差异无统计学意义（P>0.05）。结论：腹腔镜阑尾切除术治疗急性阑尾炎具有手术效果
好、预后快及术后并发症少等特点，值得临床推广使用。 |
| 英文摘要: |
| Objective:To compare the clinical effect between laparoscopic appendectomy and open appendectomy in the treatment
of acute appendicitis.Methods:A total of 127 patients with acute appendicitis, who were admitted to First Affiliated Hospital of
Chengdu Medical College from March 2012 to March 2014, were randomly divided into observation group (n=63) and control group
(n=64). The observation group was received laparoscopic appendectomy, while the control group , open appendectomy. And then the operation
effect and postoperative complication were compared between the two groups.Results:There was no statistical significance in the
operation time between the two groups (P>0.05); compared with the control group, the amount of bleeding, anal exhaust time and hospitalization
time of observation group were less, the difference was statistically significant (P<0.05). The VAS scores of two groups after
treatment were lower to different extent than those before treatment, and the observation group was less than the control group, the difference
was statistically significant (P<0.05). The wound infection, intestinal obstruction and intra-abdominal abscess incidence of observation
group were lower than those of control group, the difference was statistically significant (P<0.05); but there was no statistical significance
in the intraperitoneal hemorrhage and appendiceal stump fistula incidence rate between the two groups (P>0.05).Conclusion:The
laparoscopic appendectomy in the treatment of acute appendicitis has the advantages of better operation effect, fast prognosis and less
postoperative complication, which is worthy of clinical application. |
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