传统手术与微创小切口对急性阑尾炎的临床疗效及安全性比较

李占杰

（陕西省潼关县人民医院，陕西 渭南，714300）

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摘要：

目的 探讨传统手术与微创小切口对急性阑尾炎的临床疗效及安全性。方法 收集我院2014年3月至2015年6月收治的急性阑尾炎患者80例作为研究对象，采用国际字母排序法将所有患者随机分为传统组与微创组，每组40例。两组患者分别采用传统手术、微创小切口手术治疗，比较两种术式的治疗效果。结果 微创组患者治疗总有效率为97.5%，明显高于传统组的85.0%（P<0.05）；微创组患者手术时间、术中出血量、肛门排气时间、下床活动时间、住院时间均短于传统组，并发症发生率低于传 统组（P<0.05）。结论 在急性阑尾炎治疗中，微创小切口手术治疗效果优于传统手术，具有创伤小、并发症少、术后恢复快等优势。

关键词：传统手术；微创小切口；安全性

中图分类号：R473.6文献标志码：A文章编号：2096-1413(2017)16-0092-02

Clinical efficacy and safety of traditional surgery and minimally invasive small incision in acute appendicitis
LI Zhan-jie
(Tongguan County People`s Hospital, Weinan 714300, China)

ABSTRACT: Objective To discuss the clinical efficacy and safety of traditional surgery and minimally invasive incision for acute appendicitis. Methods Eighty cases of patients with acute appendicitis in our hospital from March 2014 to June 2015 were selected as research objects. All the patients were divided into the traditional group and the minimally invasive group according to international alphabetical method, and they were treated with traditional surgery and minimally invasive small incision surgery respectively, the surgical treatment effects were compared in the two groups. Results The total effective rate was 97.5% in the minimally invasive group, which was significantly higher than 85.0% of the traditional group (P<0.05); the surgery time, intraoperative blood loss, anal exhaust time, get out of bed activity time, hospital stay in the minimally invasive group were shorter than those of the traditional group, the incidence of complications was lower than that of the traditional group (P<0.05). Conclusion Minimally invasive small incision surgery is superior to traditional surgery in the treatment of acute appendicitis, with the advantages of small trauma, less complications, quick recovery after surgery.

KEYWORDS: traditional surgery; minimally invasive incision; safety

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