摘要
目的:分析超声刀辅助下腹腔镜阑尾切除术联合三孔线扎阑尾残端包埋法治疗急性阑尾炎的临床效果及对并发症发生的影响。方法:选取60例急性阑尾炎患者作为研究对象,按照随机数表法将其分为对照组和观察组各30例,对照组行传统开腹阑尾切除术,观察组行超声刀辅助下腹腔镜阑尾切除术联合三孔线扎阑尾残端包埋法。比较两组患者术后疼痛程度及并发症发生率。结果:术后2 d,观察组NRS评分及并发症发生率均低于对照组(P<0.05)。结论:超声刀辅助下腹腔镜阑尾切除术联合三孔线扎阑尾残端包埋法,能有效降低术后疼痛,预防术后创口感染及腹腔组织出血等情况的发生,提高腹腔镜阑尾切除术的安全系数。
Objective:To analyze the clinical effect of ultrasound knife-assisted laparoscopic appendicectomy combined with three-hole appendix stump embedding method in the treatment of patients with acute appendicitis and its influence on complications.Methods:Sixty patients with acute appendicitis were selected as subjects and were divided into a control group and an observation group with 30 cases each according to random number table.The control group underwent traditional open appendectomy while the observation group was treated with ultrasound knife-assisted laparoscopic appendicectomy and three-hole appendix stump embedding method.The postoperative pain degree and the incidence of complications were compared between the two groups.Results:The NRS score and the incidence of complications were lower in the observation group than the control group at the second day after surgery(P<0.05).Conclusion:Ultrasound knife-assisted laparoscopic appendicectomy combined with three-hole appendix stump embedding method for the treatment of patients with appendicitis can decrease postoperative pain,prevent postoperative wound infection and abdominal tissue hemorrhage and increase safety factor of laparoscopic appendicectomy.
作者
李慧群
王华
陈云鑫
李建荣
况宁华
LI Huiqun;WANG Hua;CHEN Yunxin;LI Jianrong;KUANG Ninghua(Department of Surgery,the People’s Hospital of Shanggao County,Jiangxi Yichun 336000,China)
出处
《上海医药》
CAS
2019年第21期33-34,79,共3页
Shanghai Medical & Pharmaceutical Journal
关键词
阑尾切除术
腹腔镜
超声刀
三孔线扎阑尾残端包埋法
appendicectomy
laparoscopic
ultrasound knife
three-hole appendix stump embedding method
