摘要
Abstract
Objective:To explore the clinical effect and feasibility of laparoscopic appendectomy in the treatment of acute appendicitis.Methods:A total of 269 patients with hallmark appendicitis who met the study inclusion criteria were divided into two groups by computerized randomized digital grouping, and were treated with conventional open-lap appendectomy and three-hole laparoscopic appendectomy.The operation time, intraoperative blood loss, postoperative anal exhaust time, antibacterial drug use time, hospitalization time, pain score, and postoperative complications were compared between the two groups.Results:Compared with the open group, the operation time of patients with acute appendicitis and suppurative appendicitis in the abdominal cavity group was significantly shortened, while the patients with acute gangrene/perforated appendicitis and abscess around the appendix were significantly longer (P<0.05) ;the amount of intraoperative blood loss in patients with acute appendicitis, acute suppurative appendicitis, acute gangrene/perforated appendicitis and appendix abscess was significantly reduced (P<0.05) ;postoperative anal exhaust time, antibacterial use time, hospital stay time was significantly shortened (P<0.05).After operation, the VAS scores of the patients with acute appendicitis were significantly decreased, and the scores of the observation group were better than those in the open group (P<0.05).The postoperative complications of acute appendicitis in the two groups were mainly incision infection, abdominal infection, stump leakage, abdominal abscess, etc.The rate of incision infection total complication in the laparoscopic group was significantly lower than that in the open group (P<0.05).Conclusion:Laparoscopic appendectomy is effective in all types of acute appendicitis within 48 hours of treatment.It has outstanding advantages, especially in the treatment of acute appendicitis and acute suppurative appendicitis, which can significantly shorten the operation time, reduce the amount of intraoperative blood loss, and relieve pain.It can help patients recover after surgery, reduce the incidence of postoperative complications, and safety.关键词
急性阑尾炎/阑尾切除术/外科疗法/腹腔镜/疗效/并发症Key words
Acute appendicitis/Appendectomy/Surgical treatment/Laparoscopic/Therapeutic effect/Complications分类
医药卫生
