CAJ | 학술논문

目的：探讨腹腔镜阑尾切除术的手术价值。方法收集内蒙古自治区人民医院胃肠外科2013年1月至2014年4月期间收治的已行阑尾切除术的阑尾炎患者共85例的临床资料，比较行腹腔镜阑尾切除术（腹腔镜组）和开腹阑尾切除术（开腹组）患者的手术时间、术后住院时间、住院费用、术后肛门排气时间、手术并发症等。结果腹腔镜组6例患者中转开腹。腹腔镜组住院费用高于开腹组（P＜0．05）；在腹腔镜组较开腹组手术时间短、术后住院时间短、肛门排气时间较早（P＜0．05）；腹腔镜组切口感染率较开腹组低（P＜0．05）。结论腹腔镜阑尾切除术治疗效果确切，优点突出，应用价值明确。
목적：탐토복강경란미절제술적수술개치。방법수집내몽고자치구인민의원위장외과2013년1월지2014년4월기간수치적이행란미절제술적란미염환자공85례적림상자료，비교행복강경란미절제술（복강경조）화개복란미절제술（개복조）환자적수술시간、술후주원시간、주원비용、술후항문배기시간、수술병발증등。결과복강경조6례환자중전개복。복강경조주원비용고우개복조（P＜0．05）；재복강경조교개복조수술시간단、술후주원시간단、항문배기시간교조（P＜0．05）；복강경조절구감염솔교개복조저（P＜0．05）。결론복강경란미절제술치료효과학절，우점돌출，응용개치명학。
Objective To explore the value of laparoscopic appendectomy .Methods The clinical data of 85 patients from Inner Mongolia People’S Hospital whohas underwent appendectomy in January 2013 to April 2 0 1 4 .The operation time ,postoperative hospital stay ,cost of hospitalization ,postoperative anal exhaust time ,and surgical complications were compared between laparoscopic appendectomy and openappendectomy .Results There were 4 cases conversion to the open approach in the study .The cost of laparoscopic appendectomy was higher than that of open appendectomy ( P<0.0 5 );Compared with the open appendectomy ,the laparoscopic ap-pendectomy had shorter Operation time ,shorter postoperative hospital stay ,earl ier postoperative anal exhaust time ,lower incision infection rate ( P<0 .0 5 ) .Conclusions Laparoscopic appendectomy is a safe and effectiVe treatment ,it will benefit more patients .