中国医学创新Issue(8)：144-146,3.DOI:10.3969/j.issn.1674-4985.2014.08.062
腹腔镜和开腹手术治疗成人急性复杂性阑尾炎临床分析
Clinical Analysis of Laparoscopic Versus Open Appendectomy in the Treatment of Complicated Adult Appendicitis
宋邕1
作者信息
- 1. 辽宁省鞍山市中心医院 辽宁 鞍山 114001
- 折叠
摘要
Abstract
Objective:To explore the efficacy of laparoscopic appendectomy(LA)versus open appendectomy(OA)in the treatment of complicated adult appendicitis.Method:A total of 176 adult with complicated appendicitis who underwent either LA(LA group,n=86)or OA(OA group,n=90)from 2011 to 2013 were retrospectively analyzed. The surgical outcomes and therapeutic effects were compared between the two groups.Result:The operative time:LA group(90.5±22.4)min, OA group(91.8±28.3)min(P=0.512). The amount of bleeding:LA group was less than OA group[(10.6±7.5)mL vs (23.8±6.2)mL,P=0.022). The time required for postoperative restoration of anal exhaust was significantly shorter in the LA group than in the OA group[(29.4±3.8)h vs(48.3±7.4)h,P<0.001)];Postoperative hospital stay in the LA group was significantly shorter than that in the OA group[(6.1±2.2)d vs(11.6±3.2)d,P<0.001)].Application of analgesic drugs in 24 hours after operation occurred 15 cases in the LA group and 78 cases in the OA group(P<0.001). Wound infection occurred 3 cases in the LA group and 27 cases in the OA group(P<0.001).Bowel obstruction occurred 1 case in the LA group and in 5 cases in the OA group(P=0.035).Postoperative intraabdominal abscess occurred in 1 case in the LA group and in 6 cases in the OA group(P=0.024).Conclusion:LA is safe and effective in the treatment of complicated appendicitis.关键词
急性复杂性阑尾炎/腹腔镜阑尾切除术/成人Key words
Complicated appendicitis/Laparoscopic appendectomy/Adult引用本文复制引用
宋邕..腹腔镜和开腹手术治疗成人急性复杂性阑尾炎临床分析[J].中国医学创新,2014,(8):144-146,3.
