腹腔镜与传统的开腹手术在阑尾切除术中的应用分析

郑宏乾

（陕西省平利县中医院，陕西 安康，725500）

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摘要：

目的 分析腹腔镜与传统的开腹手术在阑尾切除术中的应用效果。方法 选择2010年1月至2015年8月我院收治的100例阑尾炎患者为研究对象，随机分成A组（n=53）和B 组（n=47）。A组患者行腹腔镜阑尾切除术，B组患者行传统开腹手术， 比较两组患者各手术指标、并发症发生率和术后镇痛率。结果 A 组的术中出血量、排气时间及住院天数明显优于B 组，总体费用高于B组，差异具有统计学意义（P<0.05）。两组患者手术时间比较，差异无统计学意义（P>0.05）。A组患者的并发症发生率为1.89%，明显低于B组的38.30%，差异具有统计学意义（P<0.05）；A 组的术后镇痛率为3.77%，明显低于B组的 44.68%，差异具有统计学意义（P<0.05）。结论 阑尾炎的临床治疗中，腹腔镜手术比传统开腹手术的应用效果好，具有创口小、出血量少、排气时间与住院时间短、并发症少和止痛剂使用量少等优势，临床疗效显著，值得临床推广应用。

关键词：腹腔镜手术；传统开腹术；阑尾炎

中图分类号：R656.8文献标志码：A文章编号：2096-1413(2017)14-0079-02

Application analysis of laparoscopic surgery and traditional open surgery in appendectomy
ZHENG Hong-qian
(Chinese Medicine Hospital of Pingli County, Ankang 725500, China)

ABSTRACT:Objective To analyze the application effect of lapa roscopic surgery and traditional open surgery in appendectomy. Methods One hundred cases of patients with appendicitis from January 2010 to August 2015 in our hospital were selected as the research objects, and all the patients were randomly divided into group A (n=53) and group B (n=47). Group A was treated with laparoscopic appendectomy, and group B was treated with traditional open surgery. The operation indexes, the incidence rate of complications and postoperative analgesia rate of the two groups were compared. Results The amount of blood loss, exhaust time and hospitalization days of the group A were better than those of the group B, and the overall cost of the group A was higher than that of group B, the differences were statistically significant (P<0.05). There was no significant difference in operation time of the two groups (P>0.05). The complication rate of group A was 1.89%, which was lower than 38.30% of the control group, the difference was statistically significant (P<0.05); the postoperative analgesia rate of group A was 3.77%, which was lower than 44.68% of the control group, the difference was statistically significant (P<0.05). Conclusion In the clinical treatment of appendicitis, laparoscopic surgery has the advantages of small wound, less bleeding, shorter exhaust time and hospitalization time, less complications and less use of analgesics, the clinical effect is significant, which is worthy of promotion and application in clinic.
KEYWORDS: laparoscopic surgery; traditional open surgery; appendicitis

参考文献：
[1] 邵华,孙威,孙杰,等.肥胖患者行腹腔镜与开腹阑尾切除术疗效的对比研究[J].中华普通外科杂志,2012,27(6):491-494.
[2] 宿茂伟,刘伟锋,鲁培荣,等.腹腔镜与开腹阑尾切除术临床效果比较[J].广东医学,2013,34(7):1110-1111.
[3] 俞清江,陈帅,周鸿鲲,等.传统腹腔镜器械行单切口腹腔镜阑尾切除术52例报告[J].中国微创外科杂志,2016,16(5):468-469.
[4] 田雨,吴硕东,王丹波,等.使用传统腹腔镜器械的经阴道阑尾切除术[J].中华医学杂志,2012,92(30):2148-2150.
[5] 吕成超,黄河.小儿复杂性阑尾炎的腹腔镜治疗[J].中华普通外科杂志,2012,27(3):207-209.
[6] 汤浩,孙键,吴登峰,等.腹腔镜下阑尾切除术与开腹阑尾切除术在穿孔性阑尾炎中的疗效及安全性分析[J].河北医药,2016,38(9):1318-1320.
[7] 梁承友,罗毅,刘顺顺,等.复杂阑尾炎的腹腔镜手术及术后处理[J].中华胃肠外科杂志,2013,16(3):281-282.