原创《腹腔镜和开腹行阑尾切除术临床效果对比》：关于免费阑尾切除术论文范文在这里免费下载与阅读,为您的阑尾切除术相关论文写作提供资料。
[摘 要] 目的 比较腹腔镜和开腹行阑尾切除术的临床效果.方法 方便选取2015年2月—2017年6月该院收治的120例阑尾炎患者,其中58例行開腹阑尾切除术,作为对照组；62例行腹腔镜阑尾切除术,作为观察组,对两组患者手术情况、不良反应发生率及临床治疗总有效率进行综合评价.结果 观察组患者手术时间、术中出血量、肛门通气时间、住院时间分别为（42.42±10.74）min、（11.46±2.12）mL、（2.52±1.55）d、（4.41±1.36）d,显著优于对照组,差异有统计学意义（P<0.05）；观察组治疗后仅有3例出现不良反应,占4.84%,与对照组相比差异有统计学意义（P<0.05）.结论 采用腹腔镜阑尾切除术治疗阑尾炎,手术时间短、术中出血量少,术后不良反应少,具有较高的安全性,疗效优于传统开腹阑尾切除术,值得推广应用.
[关键词] 腹腔镜阑尾切除；开腹阑尾切除术；不良反应；临床疗效
[中图分类号] R656 [文献标识码] A [文章编号] 1674-0742（2017）10（b）-0062-03
[Abstract] Objective This paper tries to compare the clinical effect of laparoscopic and laparoscopic appendectomy. Methods 120 patients with acute and chronic appendicitis who were treated in this hospital from February 2015 to June 2017 were conveniently selected as the study subjects. 58 of them were treated with laparoscopic appendectomy and regarded as the control group. 62 patients underwent laparoscopic were selected as the observation group and the operation condition, incidence of adverse reactions and total effective clinical treatment of the two groups were evaluated and compared. Results In the observation group, the operation time, intraoperative blood loss, the anus ventilation time, length of hospital stay were （42.42 ±10.74）min, （11.46 ±2.12）mL, （2.52±1.55）d, （4.41±1.36）d respectively, significantly better than the control group（P<0.05）, and there was statistical significance. There were only 3 adverse reactions in the observation group after treatment, accounted for 4.84% and showed significant difference from the control group, which was statistically significant（P<0.05）. Conclusion The laparoscopic appendectomy appendicitis treatment can shorten the operation time, reduce the intraoperative blood loss, with fewer postoperative adverse reactions, which is of high security, better curative effect than traditional open appendectomy, therefore it is worthy of popularization and application.
[Key words] Laparoscopic appendectomy； Open appendectomy； Adverse reactions； Clinical curative effect
作为临床中一种极为常见的外科疾病,阑尾炎主要指的是由多种因素而形成的炎性改变现象,其多发于青年群体[1],以急性阑尾炎尤为常见.研究报道,阑尾炎病情复杂多样,发病率为4%～8.5%[2],近年来呈现出逐年增高的趋势,严重影响着患者的生活质量.目前,临床中对阑尾炎的治疗多以手术切除为主,常见的手术类型为传统开腹阑尾切除术和腹腔镜阑尾切除术[3],为比较两种术式的临床疗效,该研究方便收集2015年2月—2017年6月该院收治的120例阑尾炎患者的病例资料予以分析,现报道如下.
1 资料和方法
1.1 一般资料
方便收集该院阑尾炎患者的临床资料,共120例,根据手术方式的不同将患者分为观察组和对照组.观察组：男34例,女28例,年龄为17～74岁,平均年龄为（33.5±6.6）岁,病程为0.4～3.2 h,平均病程为（1.2±0.5）h,其中急性单纯性阑尾炎28例,急性化脓性阑尾炎18例,急性坏疽性阑尾炎16例；对照组：男33例,女25例,年龄为15～76岁,平均年龄为（34.1±6.5）岁,病程为0.5～3.4 h,平均病程为（1.3±0.1）h,其中急性单纯性阑尾炎26例,急性化脓性阑尾炎17例,急性坏疽性阑尾炎15例.纳入标准：①经过临床诊断及实验室检查,所有患者均符合阑尾炎的临床诊断标准[4]；②研究征得临床科室的同意及医学*会的支持,病例选择遵循自愿原则,患者及其家属签署知情同意书.排除标准：①合并严重心、肝、肾功能疾病者；②存在严重血液系统疾病患者；③肝硬化、阑尾脓肿及妊娠期阑尾炎患者；④存在手术禁忌证患者.两组患者一般资料差异无统计学意义,具有可比性（P>0.05）.
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结论：腹腔镜和开腹行阑尾切除术临床效果对比为关于本文可作为相关专业阑尾切除术论文写作研究的大学硕士与本科毕业论文阑尾切除后最多活十年论文开题报告范文和职称论文参考文献资料。
