首页|腹腔镜手术和开腹手术治疗急性阑尾炎的疗效对比分析

腹腔镜手术和开腹手术治疗急性阑尾炎的疗效对比分析

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目的 对比腹腔镜手术和开放式手术治疗急性阑尾炎的疗效.方法 选取2021年1月—2023年4月本院普外科收治的急性阑尾炎患者180例为研究对象,采用随机分组方法将入组患者随机分为试验组(n=90)和对照组(n=90).试验组采取腹腔镜阑尾切除术,对照组采取开腹阑尾切除术.记录两组患者手术时长、术后首次排气时间、抗菌药物应用时长、术后住院时间、术后疼痛等主要观察指标,以及切口感染、肠粘连、腹腔脓肿等术后并发症发生率,经分析后对比两组手术方式疗效.结果 试验组患者的手术时长、术后首次排气时间、抗菌药物应用时长、术后住院时间短于对照组(P<0.05);术后疼痛程度低于对照组(P<0.05);术后并发症的总发生率低于对照组(P<0.05).结论 腹腔镜阑尾切除术治疗急性阑尾炎患者,能有效缩短手术时长、住院时间,减轻患者术后疼痛,患者术后胃肠道功能恢复较早,并发症发生率低,安全性更高.
Comparative Analysis of the Efficacy of Laparoscopic and Open Surgery in the Treatment of Acute Appendicitis
Objective To compare the efficacy of laparoscopic surgery and open surgery in the treatment of acute appendicitis.Methods 180 patients with acute appendicitis admitted to the Department of General Surgery of our hospital from January 2021 to April 2023 were selected,and the enrolled patients were randomly divided into experimental group(n=90)and control group(n=90).The experimental group underwent laparoscopic appendectomy,while the control group underwent open appendectomy.The main observation indexes,such as operation duration,first postoperative exhaust time,antibacterial application duration,postoperative hospital stay,postoperative pain,as well as the incidence of postoperative complications such as incision infection,intestinal adhesion,abdominal abscess,etc.were recorded in the two groups.The postoperative efficacy of the two groups was compared after analysis.Results The operation time,first postoperative exhaust time,antibiotic application time and postoperative hospitalization time of experimental group were shorter than those of control group(P<0.05).The degree of postoperative pain was lower than control group(P<0.05);The total incidence of postoperative complications was lower than that of the control group(P<0.05).Conclusion Laparoscopic appendectomy for patients with acute appendicitis can effectively shorten the duration of operation and hospital stay,reduce postoperative pain,restore gastrointestinal function earlier,lower complication rate and higher safety.

Acute appendicitisLaparoscopic surgeryAppendectomyCurative effectPostoperative complications

胡永宽

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徐州矿务集团第一医院,江苏 徐州 221000

急性阑尾炎 腹腔镜手术 阑尾切除术 疗效 术后并发症

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(5)
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