摘要
目的探讨单孔和多孔腹腔镜手术治疗急性阑尾炎的临床疗效。方法选取2018年2月至2020年3月我院收治的急性阑尾炎患者48例,随机分为A组(单孔腹腔镜手术治疗)和B组(多孔腹腔镜手术治疗)各24例。比较两组患者术后疼痛情况、围手术期指标、相关并发症发生率。结果A组的术后VAS评分低于B组,手术时间长于B组(P<0.05)。两组的术中出血量、住院时间比较无统计学差异(P>0.05)。两组患者的出血、感染、肠梗阻发生率比较差异无统计学意义(P>0.05)。结论与多孔腹腔镜手术比较,单孔腹腔镜手术治疗急性阑尾炎可减轻患者术后疼痛,但会延长其手术时间。
Objective To explore the clinical efficacy of single-port and multi-port laparoscopic surgery in the treatment of acute appendicitis.Methods 48 cases of patients with acute appendicitis admitted to our hospital from February 2018 to March 2020 were selected and randomly divided into group A(single-port laparoscopic surgery)and group B(multi-port laparoscopic surgery),with 24 cases in each group.The postoperative pain,perioperative indicators and incidence of related complications were compared between the two groups.Results The postoperative VAS score of group A was lower than that of group B,and the operation time was longer than that of group B(P<0.05).No statistical difference was found in the intraoperative blood loss and hospitalization time between the two groups(P>0.05).No statistical difference was found in the incidences of bleeding,infection and intestinal obstruction between the two groups(P>0.05).Conclusions Compared with multi-port laparoscopic surgery,single-port laparoscopic laparoscopic surgery in the treatment of acute appendicitis can reduce the postoperative pain of patients,but will prolong the operation time.
作者
黄开劲
梁伟成
黄冀华
蔡锐文
梁华艳
陈郁强
李旭清
林亮
HUANG Kaijin;LIANG Weicheng;HUANG Jihua;CAI Ruiwen;LIANG Huayan;CHEN Yuqiang;LI Xuqing;LIN Liang(Department of Gastrointestinal Surgery,Gaozhou People's Hospital,Gaozhou 525200,China)
出处
《临床医学工程》
2021年第7期877-878,共2页
Clinical Medicine & Engineering
关键词
急性阑尾炎
单孔腹腔镜手术
多孔腹腔镜手术
围手术期指标
Acute appendicitis
Single-port laparoscopic surgery
Multi-port laparoscopic surgery
Perioperative indicators
