小切口阑尾切除治疗急性阑尾炎效果分析
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摘要
目的对小切口治疗阑尾炎的效果进行分析。方法分组探讨方便选取该院在2016年7月—2017年7月之间收治的108例急性阑尾炎患者,按治疗方法分为观察及对照两组,各有患者54例,观察组选用小切口阑尾切除术治疗,对照组患者行常规的阑尾炎切除治疗。对组间疗效进行对比观察。结果观察组患者治疗有效率为96.30%,显著比对照组的83.33%有优势(χ~2=9.194 8,P<0.05);观察组患者的平均手术时间为(29.83±20.27)min,术中出血量为(15.28±0.17)mL,首次排气时间为(0.91±0.14)d,下床活动时间为(1.26±0.34)d,住院时间(6.5±0.42)d。对照组患者的平均手术时间为(24.64±19.83)min,术中出血量为(31.73±0.12)mL,首次排气时间为(5.73±1.25)d,下床活动时间为(2.24±0.38)d,住院时间(15.7±0.79)d。两组之间相比较,观察组患者的各项指标均优于对照组,组间比较差异有统计学意义(t=7.045 1、580.923 4、28.159 6、14.123 3、75.562 1,P<0.05)。结论小切口切除术治疗急性阑尾炎可以进一步提高患者的治疗有效率,具有手术时间短,出血量少,住院时间短,缩短患者术后恢复时间等优点,临床应用治疗效果良好,值得推广使用。
Objective To analyze the effect of small incision in the treatment of appendicitis. Methods A total of 108 patients with acute appendicitis treated in our hospital from July 2016 to July 2017 were convenient divided into two groups:54 patients in observation group and 54 patients in control group. Small incision appendectomy was used in the observation group. The patients in the control group were treated with routine appendectomy. The curative effect of the two groups was compared and observed. Results The effective rate of treatment was 96.30% in the observation group, which was significantly higher than that in the control group 83.33%(χ~2=9.194 8, P<0.05). In the observation group, the average operative time was(29.83±20.27)min, the blood loss during operation was(15.28±0.17)mL, the first exhaust time was 0.91±0.14 days, the time of getting out of bed was(1.26±0.34)d, and the hospitalization time was(6.5±0.42)d. In the control group,the average operative time was(24.64 ±19.83)min, the intraoperative bleeding was(31.73 ±0.12 m L, the gas time was(5.73±1.25)d, the time of getting out of bed was(2.24±0.38)d, and the hospitalization time was(15.7±0.79)d. In comparison between the two groups, the indexes of the patients in the observation group were better than those in the control group,and the comparison between the two groups was statistically significant(t=7.045 1, 580.923 4, 28.159 6, 14.123 3, 75.562 1,P<0.05). Conclusion The treatment of acute appendicitis by small incision resection can further improve the effective rate of the treatment. It has the advantages of shorter operation time, less bleeding, shorter hospitalization time, shorter postoperative recovery time and so on. It is worth popularizing.
Objective To analyze the effect of small incision in the treatment of appendicitis. Methods A total of 108 patients with acute appendicitis treated in our hospital from July 2016 to July 2017 were convenient divided into two groups:54 patients in observation group and 54 patients in control group. Small incision appendectomy was used in the observation group. The patients in the control group were treated with routine appendectomy. The curative effect of the two groups was compared and observed. Results The effective rate of treatment was 96.30% in the observation group, which was significantly higher than that in the control group 83.33%(χ~2=9.194 8, P<0.05). In the observation group, the average operative time was(29.83±20.27)min, the blood loss during operation was(15.28±0.17)mL, the first exhaust time was 0.91±0.14 days, the time of getting out of bed was(1.26±0.34)d, and the hospitalization time was(6.5±0.42)d. In the control group,the average operative time was(24.64 ±19.83)min, the intraoperative bleeding was(31.73 ±0.12 m L, the gas time was(5.73±1.25)d, the time of getting out of bed was(2.24±0.38)d, and the hospitalization time was(15.7±0.79)d. In comparison between the two groups, the indexes of the patients in the observation group were better than those in the control group,and the comparison between the two groups was statistically significant(t=7.045 1, 580.923 4, 28.159 6, 14.123 3, 75.562 1,P<0.05). Conclusion The treatment of acute appendicitis by small incision resection can further improve the effective rate of the treatment. It has the advantages of shorter operation time, less bleeding, shorter hospitalization time, shorter postoperative recovery time and so on. It is worth popularizing.
引文
[1]徐仁才.40例急性阑尾炎采用小切口阑尾切除术治疗的效果分析[J].智慧健康,2018,4(26):86-87.
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[4]吴善荣.小切口阑尾切除术治疗急性阑尾炎的临床效果观察[J].当代医药论丛,2018,16(7):150-151.
[5]丛培玉.经B超选择性小切口阑尾切除术治疗急性阑尾炎的临床效果研究[J].中国医疗器械信息,2018,24(12):12-13.
[6]张华东.小切口阑尾切除术治疗急性阑尾炎临床效果[J].中外医疗,2018,37(10):83-85.
[7]王永刚.腹部小切口阑尾切除术治疗急性阑尾炎的临床效果分析[J].世界最新医学信息文摘,2018,18(73):65,153.
[8]胡骁.微创小切口在单纯性阑尾炎手术中的应用[J].中国医药指南,2016, 14(33):159-160.
[9]罗朝正.用小切口阑尾切除术治疗急性阑尾炎的效果观察[J].当代医药论丛, 2016, 14(1):162-164.
[10]宋进军.小切口阑尾切除术治疗急性阑尾炎的临床疗效分析[J].中国社区医师,2016, 32(24):1986-1987.
[2]张恒波.局麻小切口阑尾切除术治疗急性阑尾炎效果观察[J].河南外科学杂志,2018,24(5):112-114.
[3]田彬.急性阑尾炎采用小切口阑尾切除术治疗的效果分析[J].中外医疗,2018,37(2):42-44.
[4]吴善荣.小切口阑尾切除术治疗急性阑尾炎的临床效果观察[J].当代医药论丛,2018,16(7):150-151.
[5]丛培玉.经B超选择性小切口阑尾切除术治疗急性阑尾炎的临床效果研究[J].中国医疗器械信息,2018,24(12):12-13.
[6]张华东.小切口阑尾切除术治疗急性阑尾炎临床效果[J].中外医疗,2018,37(10):83-85.
[7]王永刚.腹部小切口阑尾切除术治疗急性阑尾炎的临床效果分析[J].世界最新医学信息文摘,2018,18(73):65,153.
[8]胡骁.微创小切口在单纯性阑尾炎手术中的应用[J].中国医药指南,2016, 14(33):159-160.
[9]罗朝正.用小切口阑尾切除术治疗急性阑尾炎的效果观察[J].当代医药论丛, 2016, 14(1):162-164.
[10]宋进军.小切口阑尾切除术治疗急性阑尾炎的临床疗效分析[J].中国社区医师,2016, 32(24):1986-1987.