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目的:比较腹腔镜与开腹手术治疗急性阑尾炎的临床疗效及安全性。方法:选取我院2009年3月～2012年3月收治的60例急性阑尾炎患者,按不同治疗方式均分为对照组(传统开腹阑尾切除术)、实验组(腹腔镜下阑尾切除术),术后对两种术式手术情况进行比较及安全性分析。结果:腹腔镜组患者在手术时间、术中失血量、平均住院时间等手术指标均低于开腹组患者(P<0.05);对照组患者术后并发症发生率为20.0%,然而实验组仅为6.7%,两组比较差异有统计学意义(P<0.05)。结论:腹腔镜阑尾切除术治疗急性阑尾炎的手术效果较开腹阑尾切除术更为显著,并且具有更高安全性。
Objective: To compare the clinical efficacy and safety of laparoscopic and open surgery in the treatment of acute appendicitis. Methods: Sixty patients with acute appendicitis admitted to our hospital from March 2009 to March 2012 were divided into control group (traditional open appendectomy) and experimental group (laparoscopic appendectomy) according to different treatment methods. After operation, the two surgical procedures were compared and safety analysis was performed. Results: The operative indexes of laparoscopic group were lower than those of open group (P <0.05). The incidence of postoperative complications in control group was 20.0% Only 6.7%, the difference between the two groups was statistically significant (P <0.05). Conclusions: Laparoscopic appendectomy is more effective than open appendectomy in the treatment of acute appendicitis and has higher safety.