小切口阑尾切除术与传统手术治疗急性阑尾炎疗效及安全性比较

王锐

（陕西省榆林市第二医院普外一科，陕西榆林，719000）

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摘要：

目的 分析比较小切口阑尾切除术与传统手术治疗急性阑尾炎的疗效及安全性。方法 选取2012年2月至2015年4月我院收治的急性阑尾炎患者280例作为研究对象，根据手术方式的不同将其分为观察组与对照组。观察组150例患者行小切口阑尾切除术，对照组130例患者行传统阑尾切除术。对两组患者围手术期情况及术后并发症进行比较。结果 观察组患者切口长度、术中出血量、手术时间、术后排气时间及住院时间均明显优于对照组，差异有统计学意义(P<0.05)。观察组患者并发症发生率为5.33%，对照组患者并发症发生率为20.77%，观察组明显较对照组低(P<0.05)。结论 小切口阑尾切除术与传统手术相比具有更好的疗效及安全性，患者术后恢复快，值得临床进行推广。

关键词：急性阑尾炎；小切口阑尾切除术；传统阑尾切除术

中图分类号：R473.6文献标志码：A文章编号：2096-1413(2017)01-0047-02

Comparison of clinical effect and safety of mini-incision appendectomy and normal appendectomy

in treatment of acute appenicits
WANG Rui
(Department of General Surgery, Yulin Second Hospital, Yulin 719000, China)

ABSTRACT: Objective To analyze and compare the clinical effect and safety of mini-incision appendectomy and normal appendectomy in treatment of acute appenicits. Methods Two hundred and eighty cases of acute appenicits in our hospital from February 2012 to April 2015 were chosen and divided into observation group and control group according to different surgery methods. The obseration group with 150 patients was given mini -incision appendectomy, and 130 patients in control group took normal appendectomy treatment. The perioperative indexes and complications after surgery of two groups were compared. Results The length of incision, blood loss, surgery time, postoperative exhaust time and hospital stays of the observation group were obviously better than those of control group with statistical difference (P<0.05). The complication rate of observation group was 5.33%, which was lower than 20.77% of the control group, and the difference was statistically significant (P<0.05). Conclusion Mini-incision appendectomy had better effect and safety than normal appendectomy in
treatment of acute appenicits, which was worthy of clinical promotion.
KEYWORDS: acute appenicits; mini-incision appendectomy; normal appendectomy

 

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