探讨腹腔镜阑尾切除术在阑尾炎治疗中的应用和治疗价值

李炳

【摘 要】目的：分析临床中对于阑尾炎患者在进行治疗过程中选择腹腔镜阑尾切除术治疗效果。方法：挑选2017年3月至2021年3月结束，80例阑尾炎患者，随机数表法分为传统康复阑尾切除术治疗40例对照组，余下40例划分为观察组并开展腹腔镜阑尾切除术治疗。对比两组患者治疗前后生活质量改善情况、疼痛程度缓解情况以及术后各项临床指标改善情况及并发症发生情况。结果：术前，两组VAS评分差异较小（P>0.05），与术后对照组比较，观察组VAS评分更低（P<0.05）。与对照组比较，观察组术中出血量、术后排气时间、手术治疗时间以及住院时间更低（P<0.05）。观察组总并发症发生率显著低于对照组（P<0.05）。结论：对于阑尾炎患者在进行治疗过程中选择腹腔镜阑尾切除术治疗，可减轻患者治疗疼痛程度，降低患者术中出血量，缩短患者术后排气时间、手术治疗时间以及住院时间，减少或者是预防肠粘连、腹腔脓肿或者是切口感染等并发症发生，值得临床推广。

【关键词】阑尾炎；腹腔镜阑尾切除术；并发症；疼痛程度

To Explore the Application and Therapeutic Value of Laparoscopic Appendectomy in the Treatment of Appendicitis

LI Bing

Jiaxian Hospital of traditional Chinese medicine， Yulin，Shaanxi 719299，China

【Abstract】Objective： To analyze the clinical effect of laparoscopic appendectomy for patients with appendicitis during treatment.Methods： Starting in March 2017 and ending in March 2021， 80 patients with appendicitis were selected and divided into a control group of 40 cases treated by traditional rehabilitation appendectomy by random number table，and the remaining 40 cases were divided into the observation group and treated with laparoscopic appendixes.The improvement of quality of life，painrelief，improvement of various clinical indicators and complications of the two groups before and after treatment were compared.Results： Before operation，the difference in VAS scores between the two groups was small （P>0.05）.Compared with the postoperative control group， the observation group had a lower VAS score （P<0.05）. Compared with the control group，the observation group had lower intraoperative blood loss，postoperative exhaust time， surgical treatment time and hospital stay （P<0.05）.The total incidence of complications in the observation group was significantly lower than that in the control group （P<0.05）.Conclusion：For patients with appendicitis who choose laparoscopic appendectomy during treatment，it can reduce the pain of treatment， reduce the amount of bleeding in the patient，shorten the time of postoperative exhaust， surgical treatment and hospitalization，and reduce or prevent complications such as intestinal adhesion，abdominal abscess， or incision infection.It is worthy of clinical promotion.

【Key？Words】Appendicitis；Laparoscopicappendectomy；Complications；Pain degree

闌尾炎属于最常见急腹症，发病率高，且主要集中在夏秋两季[1]。发热、呕吐、腹痛以及腹泻是该疾病主要临床表现特征，据调查显示，日常人们饮食习惯与该疾病的发生存在密切联系[2]。现如今，临床针对该疾病主要采用手术治疗，而手术治疗方式可分为传统术以及腹腔镜术，前者虽然能够起到一定疗效，但术后极易引起不同程度并发症发生，同时对患者造成的创伤较大，术后不利于患者病情康复。……