摘要
目的:探讨处理阑尾残端的较好方法。方法:将1997-02-2004-03我科收治的300例阑尾炎患者随机分为3组,用不同的方法处理残端:荷包缝合法(A组)105例,单纯根部结扎法(B组)96例,残端结扎加回盲部浆肌层间断缝合覆盖残端法(C组)99例。记录各组处理残端所用时间、残端处理不佳时需加固处理的例数,并观察术后并发症,对结果进行对比分析。结果:处理残端所用时间A组5.5±3.4min,B组1.3±0.7min,C组1.6±0.8min,C组与A组比较差异有显著意义(P<0.01),C组与B组比较差异无显著意义(P>0.05)。需加固处理例数分别为A组:14例,B组:8例,C组:1例;C组与A、B组比较差异有显著意义(P<0.01,<0.05);并发症A组:切口感染4例,B组:切口感染3例,粘连性肠梗阻1例,C组:切口感染2例,各组差异无显著意义(P>0.05)。结论:残端结扎加回盲部浆肌层间断缝合覆盖残端法操作更为简便,实用,安全可靠。
Objective To explore a better method for handling the appendiceal stump. Methods From Feb. 1997 to Mar. 2004,300 consecutive patients suffering from appendicitis were divided into three groups. The pursestring suture was used for handling appendiceal stump in group A (105 cases) the simple proximal ligation in group B(96) and the ligation combinated with ileocecal seromuscular layer interrupted suture in group C(99) .Results The time expended by handling the stumps was (5.5± 3.4) minutes in group A, (1.3±0.7 ) minutes in group B and (1.6±0.8) minutes in group C respectively. The spent time was significantly longer in group A than those in groups B (P < 0.05 ) and C( P <0.01). The patients in whom the appendiceal roots were rehandled were significantly fewer ( P < 0.05 ) in group C (1 case) than those in groups A (14) and B (8) . Four patients suffered from incisional wound infection in group A,3 in group B and 2 in group C. One patient suffered from adhensire ileus in group B. There were insignificant differences in the above - mentioned complications among groups A, B and C ( P<0.05 ) . Conclusion The ligation combinated ileocecal seromuscular layer suture is the mose convenient, most practical and safest one among these three methods.
出处
《华南国防医学杂志》
CAS
2004年第5期40-42,共3页
Military Medical Journal of South China
