摘要
目的对比腹腔镜与开腹手术治疗急性化脓性阑尾炎及坏疽性阑尾炎的临床疗效。方法回顾性分析2014年5月至2018年5月首都医科大学附属北京朝阳医院收治的224例急性化脓性及坏疽性阑尾炎患者的临床资料,根据治疗方法分为腔镜组119例和开腹组105例,腔镜组做腹腔镜阑尾切除术,开腹组做开腹阑尾切除术,比较两组手术的临床疗效。结果两组患者术前体温、白细胞、谷丙转氨酶、谷草转氨酶、纤维蛋白原及高血压、糖尿病、冠心病、腹腔既往手术史等,差异无显著性(P>0.05)。两组术中腹腔引流管放置比例相比,差异无显著性(P>0. 05),手术时间、出血量、切口长度、首次排气时间、下床时间、尿管拔除时间、住院时间、住院费用等相比,差异有显著性(P<0. 05);两组切口感染率相比,差异有显著性(P<0. 05)。粘连性肠梗阻、腹腔脓肿、泌尿系感染发生率等差异均无显著性(P>0. 05)。结论腹腔镜手术治疗急性化脓性及坏疽性阑尾炎具有手术时间短,出血量少,康复快、切口感染率低等优点。
引文
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