腹腔镜手术与开腹手术治疗妊娠期急性阑尾炎的疗效观察

王祥

（西安医学院附属汉江医院，陕西 汉中，723000）

浏览次数：70次 下载次数：398次

摘要：

目的 观察腹腔镜手术与开腹手术在妊娠期急性阑尾炎中的临床疗效。方法 收集我院2011年3月至2016年8月收治的妊娠期急性阑尾炎的患者72例，按照手术方式的不同分为观察组和对照组，每组36例，对照组给予开腹手术，观察组给予腹腔镜手术，观察两组手术方法的临床效果。结果 观察组患者手术时间为（89.21±12.43）min，短于对照组的（130.51± 20.62）min，观察组术中出血量为（10.93±2.34）mL，少于对照组的（21.33±4.51）mL，观察组的切口长度为（2.47±0.25）cm，短于 对照组的（7.42±1.63）cm，观察组术后排气时间为（1.53±0.62）d，短于对照组术的术后排气时间（2.25±1.13）d，观察组患者的住院时间为（3.42±1.24）d，短于对照组的（6.82±1.43）d，两组比较差异均具有统计学意义（P<0.05）；观察组的切口感染例数0例，对照组的切口感染例数3例，差异不显著（P>0.05）。结论 腹腔镜手术较开腹手术临床效果显著，手术时间短、创伤小、 后恢复快，术中出血量少，缩短了患者的住院时间，提高了治疗效果，是妊娠期急性阑尾炎的首选治疗方法。

关键词：腹腔镜手术；开腹手术；妊娠期急性阑尾炎

中图分类号：R656.8 文献标志码：A文章编号：2096-1413(2017)31-0048-02

Curative effect observation of laparoscopic surgery and open surgery in the treatment of gestational acute appendicitis
WANG Xiang
(Hanjiang Affiliated Hospital of Xi``an Medical University, Hanzhong 723000, China)

ABSTRACT: Objective To observe the clinical effect of laparoscopic surgery and open surgery in the treatment of appendicitis acute appendicitis. Methods A total of 72 cases of patients with gestational acute appendicitis in our hospital from March 2011 to August 2016 were selected, which were divided into observation group and control group according to the different ways of operation, with 36 cases in each group. The control group was given open surgery while the observation group was given laparoscopic surgery, the clinical effect of the two groups was observed. Results The operation time of the observation group was (89.21±12.43) min, which was shorter than (130.51±20.62) min of the control group; the amount of bleeding in the observation group was (10.93±2.34) mL, which was less than (21.33±4.51) mL of the control group during operation; the length of incision in the observation group was (2.47±0.25) cm, which was shorter than (7.42±1.63) cm of the control group; the postoperative exhaust time of the observation group was (1.53± 0.62) d, which was shorter than (2.25±1.13) d of the control group; the hospitalization time of the observation group was (3.42 ±1.24) d, which was shorter than (6.82 ±1.43) d of the control group, the differences were all statistically significant between the two groups (P<0.05). There were 0 cases of incision infection in the observation group and 3 cases in the control group, the difference was not significant (P>0.05). Conclusion Compared with open surgery, the laparoscopic surgery has significant clinical effect, with shorter operation time, less trauma, faster postoperative recovery, less bleeding, and shorter hospitalization time. Laparoscopic surgery improves the curative effect and it is the preferred treatment method for gestational acute appendicitis.
KEYWORDS: laparoscopic surgery; open surgery; gestational acute appendicitis

参考文献：
[1] 杨跃涛,谷丽新,王玉华.腹腔镜手术与传统开腹手术治疗急性阑 尾炎的临床疗效探讨[J].中国医药导刊,2014,16(3):434-435.
[2] 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.
[3] 赵晓刚.腹腔镜手术与开腹手术治疗急性复杂性阑尾炎临床疗效 比较分析[J].中国初级卫生保健,2015,29(4):133-134.
[4] 罗莉,唐菊华.传统开腹切除术与腹腔镜手术治疗急性阑尾炎的疗 效对比[J].世界最新医学信息文摘:电子版,2014,4(14):64-65.
[5] 李永超,王甲天,崔明福,等.腹腔镜与开腹手术治疗急性阑尾炎穿 孔的比较[J].中国微创外科杂志,2014,14(4):327-330.
[6] 王啟雄.腹腔镜阑尾切除术对不同病情阑尾炎患者的疗效对比研 究[J].中国内镜杂志,2015,21(10):1053-1055.
[7] 张小虎,李志霞,安大立,等.以急性完全性小肠梗阻为首发表现的 急性阑尾炎诊治探讨[J].中华胃肠外科杂志,2016,19(4):432-435.
[8] 邝学军,段双妮,王建钧,等.单孔与传统腹腔镜阑尾切除术治疗成 人急性阑尾炎的比较:随机对照试验的Meta 分析[J].中南大学学报: 医学版,2014,39(12):1299-1305.
[9] 厉英超,米琛,李伟之,等.内镜下逆行阑尾炎治疗术治疗急性非复 杂性阑尾炎的疗效观察及安全性评估[J].中国内镜杂志,2016,22(3):11-17.