摘要
目的探析腹腔镜阑尾切除术中应用阑尾根部贯穿缝扎法的临床效果。方法方便选取该院在2013年5月—2017年6月期间收治的96例阑尾炎患者,均采取腹腔镜阑尾切除术,将其随机分为研究组和对照组,各为48例,对照组阑尾根部采取常规法荷包包埋进行,研究组阑尾根部采取贯穿缝扎法,比较两组效果。结果研究组手术时长为(33.58±3.49)min,术中出血量(10.4±1.3)m L、住院时长为(2.5±1.2)d,术后肠道功能恢复所需时间(22.1±3.1)h与对照组比较差异有统计学意义(t=4.687、4.922、4.362、5.626,P<0.05);研究组并发症发生率0.00%,对照组4.17%(2/48),比较差异无统计学意义(χ~2=1.382,P>0.05)。结论对于阑尾炎患者,选用阑尾根部贯穿缝扎法进行腹腔镜阑尾切除术治疗,可明显提升治疗效果,缩短住院时间,减少并发症的发生,值得临床推荐应用。
Objective This paper tries to analyze the clinical effect of appendix suture penetration in laparoscopic appendectomy. Methods A total of 96 patients with appendicitis who were admitted to the hospital from May 2013 to June 2017 were all undergone laparoscopic appendectomy. They were randomly divided into study group and control group, with 48 in each group, and the control group was appendix. The roots were collected by routine purse embedding. The study group adopted a through-sew method at the root of the appendix to compare the effects of the two groups. Results The length of operation in the study group was（33.58±3.49） minutes, intraoperative blood loss（10.4±1.3） m L, length of hospitalization（2.5±1.2） days, postoperative recovery of intestinal function（22.1±3.1） hours. the difference was statistically significant between the two groups（t=4.687, 4.922,4.362, 5.626, P〈0.05）; the incidence of complications in the study group was 0.0%,and that of the control group was 4.17%,（2/48） the difference was not statistically significant（χ^2=1.382, P〉0.05）. Conclusion For patients with appendicitis, appendectomy with laparoscopic appendectomy for appendix roots can significantly improve the treatment effect, shorten the hospital stay, and reduce the occurrence of complications. It is worthy of clinical application.
作者
潘成江
PAN Cheng-jiang(Department of General Surgery,Dantu District People＇s Hospital,Zhenjiang,Jiangsu Province,212100 China)
出处
《中外医疗》
2018年第19期38-40,共3页
China & Foreign Medical Treatment
