Clinical study of laparoscopic appendectomy versus conventional appendectomy in the treatment of acute appendicitis
腹腔镜阑尾切除术与传统阑尾切除术治疗急性阑尾炎的临床研究

摘要

目的 分析研究腹腔镜阑尾切除术与传统阑尾切除术治疗急性阑尾炎的临床价值。方法 研究对象选取本院收治的急性阑尾炎患者160例，研究时段选取范围2019年8月-2021年8月，遵循随机原则进行分组，对照组80例，观察组80例。对照组给予传统阑尾切除术，观察组给予腹腔镜阑尾切除术，以两组患者的治疗效果、并发症发生率、各项手术指标、切口疼痛评分为观察指标，之后统计比较观察结果。结果 分析治疗效果，和对照组（87.50%）相比，观察组（97.50%）更高，P＜0.05。在并发症方面，和对照组（12.50%）相比，观察组（2.50%）更低，P＜0.05。观察组各项手术指标较对照组低，P＜0.05。观察组VAS评分较对照组低，P＜0.05。结论 实施腹腔镜阑尾切除术治疗方法，对急性阑尾炎患者具有降低并发症发生率、改善手术情况的效果，且患者疼痛感明显减少，很大程度上提高了治疗有效率，在临床中值得应用和推广。

Abstract

Objective: to analyze the clinical value of laparoscopic appendectomy and traditional appendectomy in the treatment of acute appendicitis.
Methods: 160 patients with acute appendicitis in our hospital were selected. The study period was from August 2019 to August 2021. They were divided into groups according to the principle of randomization. There were 80 cases in the control group and 80 cases in the observation group. The control group was given traditional appendectomy and the observation group was given laparoscopic appendectomy. The treatment effect, complication rate, surgical indexes and incision pain score of the two groups were taken as the observation indexes, and then the observation results were statistically compared.
Results: compared with the control group (87.50%), the treatment effect of the observation group (97.50%) was higher (P < 0.05). In terms of complications, compared with the control group (12.50%), the observation group (2.50%) was lower (P < 0.05). The operative indexes in the observation group were lower than those in the control group (P < 0.05). The VAS score of the observation group was lower than that of the control group (P < 0.05). Compared with the control group, the score of the observation group was higher (P < 0.05).
Conclusion  : the implementation of laparoscopic appendectomy can reduce the incidence of complications and improve the operation of patients with acute appendicitis, significantly reduce the pain of patients, and improve the treatment efficiency to a great extent. It is worthy of application and promotion in clinical practice.