腹腔镜阑尾切除术治疗急性阑尾炎患者临床疗效分析

王健1 ，闵向春2

（1.陕西省商洛市第二人民医院普外科，陕西 商洛，726000；2.陕西省商洛市中医医院外科，陕西 商洛，726000）

浏览次数：114次 下载次数：390次

摘要：

目的 探讨腹腔镜阑尾切除术治疗急性阑尾炎的临床效果。方法 将2011年6月至2016年6月在我院普外科进行腹腔镜手术治疗的急性阑尾炎患者150例作为研究组，选择同期进行腹腔镜手术治疗的慢性阑尾炎患者150 例作为对照组，观察两组患者手术时间、首次排气时间、失血量、进食时间、住院时间等，同时观察两组患者并发症发生情况。结果 研究组患者手术时间、首次排气时间、首次进食时间、住院时间均明显长于对照组（P<0.05），而两组患者失血量比较，差异无统计学意义 （P>0.05）；研究组患者并发症发生率为25.33%（38/150），对照组患者并发症发生率为8.00%（12/150），研究组显著高于对照组（P<0.05）。结论 腹腔镜阑尾切除术治疗急性阑尾炎效果确切，但术后并发症发生率高于慢性阑尾炎患者。

关键词：急性阑尾炎；慢性阑尾炎；腹腔镜手术

中图分类号：R656.8文献标志码：A文章编号：2096-1413（2016）27-0059-02

Clinical effect of laparoscopic appendectomy in the treatment of acute appendicitis
WANG Jian 1, MIN Xiang-chun 2
(1. Department of General Surgery, Shangluo No.2 Provincial People`s Hospital, Shangluo 726000; 2. Department of Surgery,
Shangluo Traditional Chinese Medicine Hospital, Shangluo 726000, China)

ABSTRACT: Objective To investigate the clinical effect of laparoscopic appendectomy on acute appendicitis. Methods One hundred and fifty cases of patients with acute appendicitis received laparoscopic surgery in our hospital from June 2011 to June 2016 were selected as research group, and 150 cases of patients with chronic appendicitis carried out laparoscopic surgery at the same period were chosen as control group. The operation time, exhaust time, amount of bleeding loss, eating time and hospital stays of the two groups were observed and compared, as well as the incidenle of complications. Results The operation time, exhaust time, eating time, hospital stays of the research group were significantly longer than those of the control group (P<0.05), but the difference of bleeding loss between the two groups was not significant (P>0.05); the complications incidence rate of the research group was 25.33% (38/150), which was significantly higher than 8.00% (12/150) of the control group (P<0.05). Conclusion Laparoscopic appendectomy for acute appendicitis is safe and feasible, but the incidence rate of complications is higher than that of chronic appendicitis.
KEYWORDS: acute appendicitis; chronic appendicitis; laparoscopic surgery

参考文献：
[1] 孙桂富.对比分析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及安全性[J].中外医学研究,2014,4(32):141-143.
[2] 陆敬峰.腹腔镜阑尾切除术治疗急性阑尾炎的临床效果观察[J].大家健康:学术版,2014,8(12):168.
[3] 路明,花亚伟.腹腔镜下阑尾切除术治疗急性阑尾炎临床分析[J]. 河南外科学杂志,2015,18(5):39-40.
[4] 王怀科,朱泽卫,王浩龙,等.腹腔镜和开腹阑尾切除术在治疗急性阑尾炎中的临床对比分析[J].中国煤炭工业医学杂志,2015,18(9):1510-1514.
[5] 蒋安科,周庆,李强,等.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].现代生物医学进展,2015,15(24):4710-4712.
[6] 陈洪流,刘兴华.开腹和腹腔镜阑尾切除术治疗妊娠期急性阑尾炎的对照研究[J].临床外科杂志,2014,22(4):274-275.
[7] 周光辉,常青锋,秦川川.腹腔镜阑尾切除术治疗小儿急性阑尾炎的临床疗效观察[J].中国社区医师:医学专业,2012,6(13):107-108.
[8] 杨大亮.腹腔镜和开腹阑尾切除术治疗急性阑尾炎疗效的比较分析[J].右江医学,2012,6(11):818-820.
[9] 茹国梁.腹腔镜和开腹阑尾切除术治疗急性阑尾炎疗效的比较分析[J].中国医药指南,2015,6(24):154.
[10] 徐志杰.腹腔镜阑尾切除术治疗急性阑尾炎的临床疗效观察[J].中外医学研究,2015,17(31):115-116.
[11] 杨文军.腹腔镜手术与开腹手术治疗急性阑尾炎的对比研究[J]. 检验医学与临床,2014,11(18):2604-2605.
[12] 李岩松,赵庆楠,宋文卿,等.化脓性阑尾炎并发糖尿病患者的微创手术效果研究[J].中国内镜杂志,2015,21(12):1298-1301.
[13] 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.
[14] 陈小龙,周永醇,张兆明,等.腹腔镜阑尾切除术后远期粘连性肠梗阻的危险因素分析[J].广西医学,2014,36(10):1415-1418.
[15] 阿合提别克·塔布斯,周军,李剑辉,等.腹腔镜探查并阑尾切除术治疗异位阑尾炎19 例临床分析[J].国际外科学杂志,2015,42(7):460-462.
[16] 吕会增,魏波,叶小勇,等.横切口腹膜外单层缝合与腹腔镜用于阑尾切除的随机对照研究[J].新医学,2015,46(2):110-114.