CAJ | 학술논문

目的：比较腹腔镜和开腹手术治疗急性阑尾的临床疗效。方法：93例急性阑尾炎患者，随机分为腹腔镜组50例，传统开腹组43例，比较术中和术后相关指标。结果：腹腔镜组的切口长度、术中出血量明显低于开腹组，差异具有统计学意叉(P<0.05)。腹腔镜组术后发热、切口感染、腹腔感染的发生率要明显低于传统开腹组，住院时间明显短于开腹组，差异均具有统计学意义(P<0.05)。结论：腹腔镜手术治疗急性阑尾炎术中具有创伤小、术后恢复快，切口感染率低，住院时间短的优点，明显优于传统开腹手术，值得临床广泛推广应用。
목적：비교복강경화개복수술치료급성란미적림상료효。방법：93례급성란미염환자，수궤분위복강경조50례，전통개복조43례，비교술중화술후상관지표。결과：복강경조적절구장도、술중출혈량명현저우개복조，차이구유통계학의차(P<0.05)。복강경조술후발열、절구감염、복강감염적발생솔요명현저우전통개복조，주원시간명현단우개복조，차이균구유통계학의의(P<0.05)。결론：복강경수술치료급성란미염술중구유창상소、술후회복쾌，절구감염솔저，주원시간단적우점，명현우우전통개복수술，치득림상엄범추엄응용。
Objective:Compare the clinical efficacy of laparoscopic and open surgery for acute appendix. Methods:93 cases of acute appendicitis patients, divided into 50 cases of laparoscopic group, traditional laparotomy group 43 cases.Compare intraoperative and postoperative related indicators. Results:the incision length, intraoperative blood loss of laparoscopic group was obviously lower than laparotomy group, the difference has statistics meaning fork (P<0.05).Laparoscopic group of postoperative fever, infection of incision, the incidence of abdominal cavity infection significantly less than traditional laparotomy group, hospitalization time significantly shorter than laparotomy group, the differences were statistically significant (P<0.05).Conclusions:laparoscopic surgery in the treatment of acute appendicitis in has small trauma, quick recovery, incision infection rate is low, the advantages of shorter hospitalization time, is superior to traditional open operation, is worth to be widely applied clinically.