关键词: 腹腔镜, 开腹, 阑尾切除术, 阑尾炎, 临床疗效

Abstract:

Objective To analyze the clinical efficacy of laparoscopic appendectomy and open appendectomy in the treatment of appendicitis. Method The clinical data of 104 patients of Enshi Huiyi Hospital Affiliated to Hubei Enshi College from March 2020 to March 2022 were retrospectively analyzed. According to the different surgical methods, they were divided into control group and observation group, with 52 cases in each group. The patients in the control group received open appendectomy, and the patients in the observation group received abdominal endoscopic surgery. The relevant indicators of the operation of the two groups were analyzed, and the postoperative complications and surgical effects were compared. Result The amount of surgical bleeding in the observation group was less than that in the control group, and the visual analogue score was lower than that in the control group. The operation duration, bowel sound recovery time, first exhaust time, first defecation time, bed rest time and hospitalization time were shorter than those in the control group, with significant differences (P ＜ 0.05). The total incidence of complications in the control group was significantly lower than that in the control group, and the overall curative effect was significantly better than that in the control group (P ＜ 0.05). Conclusion Compared with open appendectomy, laparoscopic appendectomy is more effective in the treatment of appendicitis, which is characterized by smoother operation, less trauma, higher safety, less postoperative complications.

Key words: laparoscopy, Open abdomen, Appendectomy, Appendicitis, Clinical efficacy