摘要
目的探讨腹腔镜下阑尾切除术治疗急、慢性阑尾炎的临床效果。方法选取2017年5月~2019年2月我院收治的168例阑尾炎患者作为研究对象,采用随机数字表法将其分为观察组和对照组,每组各84例。对照组患者采用开放阑尾切除术治疗,观察组患者采用腹腔镜下阑尾切除术治疗。观察组患者根据不同病例类型,将其分为单纯性阑尾炎组(23例)、化脓性阑尾炎组(22例)、坏疽性阑尾炎组(16例)及慢性阑尾炎组(23例)。通过查看住院病例和术后2个月的随访记录,比较分析不同手术方式对两组患者的手术时间、术中出血量、术后排气时间、术后住院时间、总花费金额以及并发症发生情况(切口感染、腹腔积液、肠梗阻及切口疝等)的影响。比较分析腹腔镜下阑尾切除术对不同病例分型阑尾炎患者的手术时间、术中出血量、术后排气时间、术后住院时间、总花费金额以及并发症发生情况(切口感染、腹腔积液、肠梗阻及切口疝等)的影响。结果观察组患者的手术时间、术后排气时间和术后住院时间均短于对照组,术中出血量少于对照组,总花费金额高于对照组,差异均有统计学意义(P<0.05);观察组患者的切口感染发生率低于对照组,差异有统计学意义(P<0.05);观察组与对照组患者的腹腔积液、肠梗阻及切口疝发生率比较,差异无统计学意义(P>0.05);采用腹腔镜下阑尾切除术后,急性阑尾炎(单纯性阑尾炎组、化脓性阑尾炎组、坏疽性阑尾炎组)患者的手术时间均长于慢性阑尾炎组,差异有统计学意义(P<0.05);化脓性阑尾炎组患者的术中出血量少于坏疽性阑尾炎组,差异有统计学意义(P<0.05);坏疽性阑尾炎组患者的术后排气时间长于慢性阑尾炎组,差异有统计学意义(P<0.05);各类型阑尾炎患者的术后住院时间及总花费金额比较,差异无统计学意义(P>0.05);采用腹腔镜下阑尾切除术后,坏疽性阑�
Objective To explore the clinical curative effect of laparoscopic appendectomy on acute and chronic appendicitis. Methods A total of 168 patients with appendicitis who were admitted to our hospital from may 2017 to February 2019 were selected as research objects, and were divided into observation group and control group by random number table method, 84 cases in each group. Patients in the control group were treated with open appendectomy, while patients in the observation group were treated with laparoscopic appendectomy. Patients in the observation group were divided into simple appendicitis group (23 cases), suppurative appendicitis group (22 cases), gangrenous appendicitis group (16 cases) and chronic appendicitis group (23 cases) according to different case types. By looking at the hospitalization cases and the follow-up records of 2 months after operation, the effects of different operation methods on the operation time, intraoperative blood loss, postoperative exhaust time, postoperative hospitalization time, total cost and the occurrence of complications (incision infection, peritoneal effusion, intestinal obstruction and incision hernia, etc.) of the two groups of patients were compared and analyzed. The effects of laparoscopic appendectomy on operation time, intraoperative blood loss, postoperative exhaust time, postoperative hospitalization time, total cost and the occurrence of complications (incision infection, peritoneal effusion, intestinal obstruction and incisional hernia, etc.) of patients with different types of appendicitis were compared and analyzed. Results The operation time, postoperative exhaust time and postoperative hospitalization time of the patients in the observation group were shorter than those in the control group, the intraoperative blood loss was less than that in the control group, and the total cost was higher than that in the control group, the differences were statistically significant (P<0.05). The incidence of incision infection in the observation group was lower than tha
作者
李全民
张善忠
雷冠东
陈筱民
黄涛
万冰
LI Quan-min;ZHANG Shan-zhong;LEI Guan-dong;CHEN Xiao-min;HUANG Tao;WAN Bing(Department of General Surgery, the First People′s Hospital of Jingdezhen City, Jiangxi Province, Jingdezhen 333000, China)
出处
《中国当代医药》
2019年第25期13-16,20,共5页
China Modern Medicine
基金
江西省景德镇市科技计划项目(20171SFZC068)
关键词
急性阑尾炎
慢性阑尾炎
阑尾切除术
腹腔镜
Acute appendicitis
Chronic appendicitis
Appendectomy
Laparoscope
