目的 探讨SPLA术与CLA治疗急性阑尾炎的临床疗效。方法 回顾性收集我科130例急性阑尾炎患者临床资料为研究对 象，患者均予以腹腔镜下手术，根据术式分为单孔组(经脐单孔，SPLA组)与三孔组(传统腹腔镜三孔，CLA组)，比 较两组手术时间、术中出血量，并比较术后体温正常时间、术后排气时间、术后住院日及疼痛，并比较两组阑尾 的病例类型。结果 单孔组手术时间(92.3±21.8)min，显著长于三孔组(52.7±14.2)min(P<0.05)，但两组术中出 血量并无显著差异(P＞0.05)；单孔组体温恢复正常时间(67.8±17.4)h，VAS评分(3.7±0.7)分均显著短于三孔组 (75.7±14.8)min、(4.1±0.9)分(P＜0.05)，但两组的术后排气时间、住院时间、阑尾病理类型比较无统计学意义 (P＞0.05)；单孔组温哥华瘢痕量表评分(3.05±0.72)分，显著低于三孔组(3.34±0.81)分(P<0.05)，但两组的厚 度、血管分布并无显著差异(P＞0.05)。结论 经脐单孔与传统腹腔镜三孔均能有效治疗急性阑尾炎，手术适应症相 似，但前者创伤更小，且符合外观审美。

Objective To explore the clinical efficacy of SPLA and CLA in the treatment of acute appendicitis. Methods The clinical data of 130 patients with acute appendicitis in our department were retrospectively collected as study subjects. All patients were given laparoscopic surgery, and they were divided into single-port group(transumbilical single-port laparoscopic appendectomy, SPLA group) and three-port group(conventional three-port laparoscopic appendectomy, CLA group) according to the surgical methods. The operative time and intraoperative blood loss were compared between the two groups, and the postoperative normal temperature time, postoperative exhaust time, postoperative hospital stay and pain were compared, and the appendix pathological types were compared between the two groups. Results The operative time in single-port group was significantly longer than that in three-port group [(92.3±21.8) min vs (52.7±14.2) min] (P<0.05), but there was no significant difference in the intraoperative blood loss between the two groups(P>0.05). The normal recovery time of body temperature and VAS score in single-port group were significantly shorter than those in three-port group [(67.8±17.4) h vs (75.7±14.8) min, (3.7±0.7) points vs (4.1±0.9) points](P<0.05), but there were no significant differences between the two groups in postoperative exhaust time, hospital stay and appendix pathological types(P>0.05). The Vancouver scar scale score in single-port group was significantly lower than that in three-port group [(3.05±0.72) points vs (3.34±0.81) points](P<0.05), but there were no significant differences in thickness and blood vessel distribution between the two groups(P>0.05). Conclusion Transumbilical single-port laparoscopic appendectomy and conventional three-port laparoscopic appendectomy both can effectively treat acute appendicitis, and they have similar surgical indications, but the former one has smaller trauma and is aesthetically pleasing.