【摘要】目的 探讨腹腔镜阑尾切除术联合针灸疗法与开腹阑尾切除术治疗急性阑尾炎的临床对比效果。方法 回顾性分析2008年1月至2011年1月在我院治疗的120例急性阑尾炎患者，随机分为两组，实验组65例进行腹腔镜阑尾切除术联合针灸疗法，对照组55例进行传统开腹阑尾切除术，观察记录两组病患的术中出血量、术后感染； 手术时间； 抗生素使用时间； 术后使用镇痛药； 肛门排气时间； 下床活动时间；住院费用等情况。结果 手术时间、术中出血量、抗生素使用时间、术后使用镇痛药、感染情况、肛门排气时间、下床活动时间、住院费用等方面均有显著差异。结论 腹腔镜阑尾切除术联合针灸疗法治疗急性阑尾炎具有创伤小、恢复快、平均住院时间短、并发症少等优点，值得推广应用。

    【关键词】腹腔镜 开腹 阑尾切除术 针灸疗法 阑尾炎 并发症 疗效

    中图分类号：R574.61文献标识码：B文章编号：1005-0515(2011)12-149-02

    【Abstract】Objective To investigate the combined laparoscopic appendectomy and laparotomy appendectomy acupuncture treatment of acute appendicitis compared the clinical effect. Methods A retrospective analysis from January 2008 to January 2011 in our hospital 120 cases of acute appendicitis were randomly divided into two groups, experimental group of 65 patients for laparoscopic appendectomy combined acupuncture therapy in the control group, 55 patients were traditional open appendectomy, observation of the two groups of patients, blood loss, postoperative infection； operation time； antibiotics, use of time； postoperative analgesics； anal exhaust time； ambulation time； hospitalization costs situation. Results The operative time, blood loss, time to antibiotic use, postoperative use of analgesic drugs, infections, anal exhaust time, get out of bed time, hospital charges, etc. are significant differences. Conclusion Laparoscopic appendectomy for acute appendicitis combined acupuncture with less trauma and faster recovery, shorter average length of stay, fewer complications, should be widely applied. ......