摘要
目的 探讨腹壁穿刺缝合针辅助自制单孔装置在阑尾切除术中应用的效果。方法 2018年7月~2021年7月我院收治的行腹腔镜阑尾切除术病人80例,其中36例采用腹壁穿刺缝合针辅助自制单孔腹腔镜装置(穿刺针组)行阑尾炎切除术,44例采用传统三孔腹腔镜治疗(传统组)行阑尾炎切除术,比较两组病人的手术时间,出血量,肛门排气时间,住院时间,疼痛评分及术后切口感染、切口美观度等指标。结果 穿刺针组与传统组病人中位手术时间分别为35分钟和35分钟、中位出血量分别为12.5ml和15ml、中位肛门排气时间分别为1天和1天、中位住院时间分别为5天和5天,术后切口感染分别为0例2例,两组比较差异均无统计学意义(P>0.05),穿刺针组术后第天的疼痛评分[3(2,3)]低于传统组[3(2,4)],差异有统计学意义(P<0.05)。结论 采用腹壁穿刺缝合针辅助自制单孔装置行阑尾切除安全有效,术后疼痛明显改善,住院时间短,术后疤痕小。
Objective To study the clinical effect of a self-made single-hole device assisted by abdominal wall puncture suture needle in appendectomy.Methods A retrospective analysis of the clinical data of 80 patients undergoing laparoscopic appendectomy admitted to the Department of General Surgery, Taikang Xianlin Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, from July 2018 to July 2021,36 of them were self-made with abdominal wall puncture needles.Single-port device treatment(puncture needle group),44 cases were treated with traditional three-port laparoscopic treatment(traditional group),the operation time, blood loss, anal exhaust time, hospital stay, pain score and postoperative wound infection were compared between the two groups Situation and other indicators.Results There was no significant difference between the puncture needle group and traditional group of patients in terms of median operative time(35 min vs.35 min),median blood loss(12.5 ml vs.15 ml),median anal exhaust time(1 day vs.1 day),median hospital stay(5 days vs.5 days) and postoperative wound infection(0 case vs.2 cases)(P>0.05).The puncture needle group had significantly lower pain scores[3(2,3)] than the traditional[3(2,4)] on the first postoperative day(P<0.05).Conclusion The use of abdominal wall puncture suture needle to assist self-made single-hole device for appendectomy is safe and effective.Postoperative pain is significantly improved, hospitalization time is short, postoperative scars are small, and more beautiful.
作者
邱谢武
王文卿
刘清
曹道成
QIU Xiewu;WANG Wenqing;LIU Qing(Department of General Surgery,Taikang Xianlin Drum Tower Hospital,the Afiliated Hospital of Nanjing University Medical School,Jiangsu,Nanjing 210046,China)
出处
《临床外科杂志》
2022年第9期844-847,共4页
Journal of Clinical Surgery
关键词
腹壁穿刺缝合针
自制单孔腹腔镜
阑尾切除术
abdominal wall puncture and suture needle
self-made single port laparoscope
appendectomy
