引用本文:郑荣洁.老年急性阑尾炎患者行开腹切除术与腹腔镜切除术的临床疗效比较[J].中国临床新医学,2017,10(12):1204-1207.
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老年急性阑尾炎患者行开腹切除术与腹腔镜切除术的临床疗效比较
郑荣洁
515144 广东,汕头朝南民生医院普外科
摘要:
[摘要] 目的 比较腹腔镜切除术与开腹切除术治疗老年急性阑尾炎的临床疗效。方法 选择该院2013-01~2015-10期间收治65岁以上老年急性阑尾炎并已实施手术患者50例,并根据所选的手术方式,分为腹腔镜阑尾炎手术组(LA组)25例,传统开腹手术组(OA组)25例,记录两组术中及术后相关指标并作数据分析。结果 与LA组比较,OA组的手术时间较长,术中出血量较多,切口长度及住院时间较长(P<0.01),但综合就医费用较少(P<0.01);OA组的术后镇痛药使用和并发症发生率较高(P<0.05)。结论 老年急性阑尾患者行腹腔镜阑尾炎切除手术具有创伤小、出血少、住院时间短、术后并发症少、镇痛药使用少等优势,值得在临床上推广应用。
关键词:  腹腔镜切除术  开腹切除术  老年急性阑尾炎
DOI:10.3969/j.issn.1674-3806.2017.12.24
分类号:R 574.61
基金项目:
Comparison of the clinical effects between laparoscopic cholecystectomy and laparotomy in elderly patients with appendicitis
ZHENG Rong-jie
Department of General Surgery, Minsheng Hospital of Chaonan, Shantou City, Guangdong 515144, China
Abstract:
[Abstract] Objective To compare the clinical efficacy of laparoscopic cholecystectomy and open cholecystectomy in elderly patients with appendicitis.Methods 50 patients more than 65 years old were performed appendicitis operation in our hospital during January 2013 and October 2015 and their clinical data were analyzed. The patients were divided into two groups according to the different operation modes, with 25 cases in LA group(laparoscopic appendectomy) and 25 cases in OA group (traditional open surgery). The related indicators during surgery and postoperation were compared between the two groups.Results The operative time, intraoperative blood loss, length of incision and the duration of hospitalization in the OA group were significantly higher than those in the LA group(P<0.01), but the overall medical costs were significantly lower than those in the LA group(P<0.01). The dose of analgesic and the postoperative complication rate in the OA group were significantly higher than those in the LA group(P<0.05).Conclusion Laparoscopic appendectomy is a safe and effective surgical method for the elderly patients with appendicitis, with advantages of less trauma, less bleeding, shorter hospital stay, less postoperative complications, less analgesic dose and shorter recovery time.
Key words:  Laparoscopic resection  Laparotomy  Acute senility appendicitis