腹腔镜阑尾切除术和传统开腹阑尾切除术的临床疗效对比

贺礼文

（陕西省渭南市华州区中铁一局中心医院，陕西 渭南，714100）

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摘要：

目的 探讨腹腔镜阑尾切除术和传统开腹阑尾切除术的临床疗效。方法 选取我院2014年3月至2015年10月收治的阑尾手术患者120例作为研究对象，按照手术方式的不同分为观察组和对照组，各60例。观察组患者采用腹腔镜阑尾切除术，对照组患者采用传统开腹阑尾切除术。比较两组患者手术时间、术中出血量、术后排气时间及住院时间。结果 观察组患者手术时间为（90.4±13.8）min，明显短于对照组的（135.9±22.7）min；观察组术中出血量为（11.3±2.5）mL，明显少于对照组的 （22.4±3.8）mL；观察组患者术后排气时间为（1.6±0.5）d，明显短于对照组的（2.8±2.3）d；观察组患者的住院时间为（3.2±1.3）d，明显短于对照组的（5.8±1.7）d，差异均具有统计学意义（P<0.05）。结论 腹腔镜阑尾切除术较传统阑尾切除术临床效果显著， 手术时间短，术中出血量少，伤口小，术后恢复快，住院时间短，值得临床推广应用。

关键词：阑尾炎；腹腔镜阑尾切除术；开腹阑尾切除术

中图分类号：R656.8文献标志码：A文章编号：2096-1413(2017)20-0061-02

Clinical effect comparison of laparoscopic appendectomy and traditional open appendectomy
HE Li-wen
(China Railway First Bureau Central Hospital of Huazhou District in Weinan, Weinan 714100, China)

ABSTRACT: Objective To investigate the clinical effects of laparoscopic appendectomy and traditional open appendectomy. Methods A total of 120 cases of patients with appendectomy in our hospital from March 2014 to October 2015 were selected as the research objects. All the patients were divided into observation group and control group according to different ways of operation, with 60 cases in each group. The observation group was treated with laparoscopic appendectomy, and the control group was given traditional open appendectomy. The operation time, intraoperative blood loss, postoperative exhaust time and hospitalization time of the two groups were compared. Results The operation time of the observation group was (90.4±13.8) min, which was shorter than (135.9±22.7) min of the control group; the intraoperative blood loss amount of the observation group was (11.3±2.5) mL, which was less than (22.4±3.8) mL of the control group; the postoperative exhaust time of the observation group was (1.6±0.5) d, which was shorter than (2.8±2.3) d of the control group; the hospitalization time the observation group was (3.2±1.3) d, which was shorter than (5.8±1.7) d of the control group; the differences between the two groups were statistically significant (P<0.05). Conclusion Compared with traditional appendectomy, laparoscopic appendectomy has significant effect, which has shorter operation time, less bleeding, less wound, quicker recovery and shorter hospital stay and is worthy of clinical application and popularization.
KEYWORDS: appendicitis; laparoscopic appendectomy; open appendectomy

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