腹腔镜和开腹阑尾切除术在治疗穿孔性阑尾炎的临床疗效

发布时间：2018-12-16 01:43

【摘要】：目的分析探讨腹腔镜和开腹阑尾切除术在治疗穿孔性阑尾炎中的临床疗效。方法选取我院2013年6月—2016年6月期间所收治的90例穿孔性阑尾炎患者作为研究对象,随机分为研究组和对照组,各45例,对照组患者施以传统的开腹阑尾切除术,而研究组患者施以腹腔镜阑尾切除术,然后对两组患者的治疗效果进行比较分析。结果研究组患者的肛门排气时间、下床活动时间以及住院时间比之于对照组患者均明显减少,另外研究组患者的腹腔出血量比之于对照组患者明显偏少组间差异明显,P0.05,具有统计学意义;研究组患者在术后出现切口感染患者以及术后使用阵痛药物的患者比之于对照组患者明显偏少,组间差异明显,P0.05,具有统计学意义。结论与传统的开腹阑尾切除术相比,腹腔镜阑尾切除术的治疗效果更为显著,安全可靠,能够显著减轻患者的痛苦,在临床上将具有广阔的应用价值。
[Abstract]:Objective to evaluate the clinical effect of laparoscopic appendectomy and open appendectomy in the treatment of perforated appendicitis. Methods 90 patients with perforated appendicitis admitted in our hospital from June 2013 to June 2016 were randomly divided into study group and control group (45 cases each). Patients in control group were treated with traditional open appendectomy. The study group received laparoscopic appendectomy, and then compared the two groups of patients. Results the time of anal exhaust, the time of getting out of bed and the time of hospitalization in the study group were significantly lower than those in the control group, in addition, the amount of intraperitoneal bleeding in the study group was significantly less than that in the control group (P0.05). Statistical significance; The patients in the study group who had incision infection after operation and the patients who used pain drugs after operation were significantly less than those in the control group. The difference between the groups was significant (P 0.05). Conclusion compared with the traditional open appendectomy, laparoscopic appendectomy is more effective, safe and reliable, can significantly alleviate the pain of patients, and will have broad clinical application value.
【作者单位】：江苏省扬州市第一人民医院;
【分类号】：R656.8

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