小切口阑尾炎手术与传统开腹手术治疗急性阑尾炎的疗效比较
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摘要
目的:分析小切口阑尾炎手术与传统开腹手术治疗急性阑尾炎的临床效果。方法:56例急性阑尾炎患者,随机分组为观察组(28例)与对照组(28例)。对照组实施传统开腹阑尾切除手术治疗,观察组实施小切口阑尾炎手术治疗。分析、比较两组的治疗效果。结果:观察组的手术时间、恢复排气时间、住院时间和下床活动时间等观察指标优于对照组,差异有统计学意义(P<0.05)。观察组术后并发症率3.57%,低于对照组的25.00%(P<0.05)。结论:小切口阑尾炎手术治疗急性阑尾炎与传统开腹手术相比,降低术后并发症,提高治疗效果。
Objective:To analyze the clinical effect of small incision appendectomy and traditional laparotomy on acute appendicitis. Methods: 56 patients with acute appendicitis were randomly divided into observation group(28 cases)and control group(28 cases). The control group was treated with traditional appendectomy, while the observation group was treated with small incision appendectomy. The therapeutic effects of the two groups were analyzed and compared. Results: The indexes of operation time, recovery exhaust time, hospitalization time and ambulation time of the observation group were better than those of the control group, and the differences were statistically significant(P<0.05). The postoperative complication rate in the observation group was 3.57%, lower than 25.00% in the control group(P<0.05). Conclusion: Small incision appendicitis surgery for acute appendicitis can reduce the postoperative complications and improve the therapeutic effect compared with traditional open surgery.
Objective:To analyze the clinical effect of small incision appendectomy and traditional laparotomy on acute appendicitis. Methods: 56 patients with acute appendicitis were randomly divided into observation group(28 cases)and control group(28 cases). The control group was treated with traditional appendectomy, while the observation group was treated with small incision appendectomy. The therapeutic effects of the two groups were analyzed and compared. Results: The indexes of operation time, recovery exhaust time, hospitalization time and ambulation time of the observation group were better than those of the control group, and the differences were statistically significant(P<0.05). The postoperative complication rate in the observation group was 3.57%, lower than 25.00% in the control group(P<0.05). Conclusion: Small incision appendicitis surgery for acute appendicitis can reduce the postoperative complications and improve the therapeutic effect compared with traditional open surgery.
引文
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[10] 夏非,华清泉.颈部微小切口腔镜治疗甲状腺腺瘤疗效评价及术后凝血障碍发生的影响因素分析[J].中南医学科学杂志,2017,45(5):492-495.
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[12] TULIN-SILVER S,BABB J,PINKNEY L,et al.The challenging ultrasound diagnosis of perforated appendicitis in children:constellations of sonographic findings improve specificity[J].Pediatr Radiol,2015,45(6):820-830.
[13] 栾成武.小切口手术治疗急性阑尾炎的效果观察[J].中国卫生标准管理,2015,6(27):64-65.
[14] 武飚.微创小切口与传统手术在急性阑尾炎中的临床应用比较[J].中国药物与临床,2017,17(1):129-131.
[2] 梁亦追,陈瑞海.小切口手术与传统手术治疗急性阑尾炎疗效比较[J].中国基层医药,2013,20(1):97-98.
[3] 陈振波,王明峰,贾利猛,等.小切口阑尾切除术治疗急性阑尾炎临床疗效研究[J].现代生物医学进展,2012,12(22):4327-4329.
[4] VETTORETTO N,CIROCCHI R,RANDOLPH J,et al.Acute appendicitis can be treated with single-incision laparoscopy:a systematic review of randomized controlled trials[J].Colorectal Dis,2015,17(4):281-289.
[5] 雷涛.小切口手术治疗急性阑尾炎的临床观察[J].齐齐哈尔医学院学报,2012,33(3):315-316.
[6] 陈孝平,王建平.外科学[M].8版.北京:人民卫生出版社,2013:215-216.
[7] 颜文飞.采用小切口手术治疗急性化脓性阑尾炎并腹膜炎的疗效观察[J].国际病毒学杂志,2015,22(21):63-65.
[8] JOHNSTON J,MYERS D T,TODD W R,et al.Stump appendicitis:surgical background,CT appearance,and imaging mimics[J].Emerg Radiol,2015,22(1):13-18.
[9] 王景锋.小切口阑尾切除术治疗急性单纯性阑尾炎的临床效果[J].中国实用乡村医生杂志,2015,22(15):56-57.
[10] 夏非,华清泉.颈部微小切口腔镜治疗甲状腺腺瘤疗效评价及术后凝血障碍发生的影响因素分析[J].中南医学科学杂志,2017,45(5):492-495.
[11] 王宏杰.小切口阑尾切除术与传统阑尾切除术治疗急性阑尾炎的临床效果对比[J].中国社区医师,2015,31(31):44-45.
[12] TULIN-SILVER S,BABB J,PINKNEY L,et al.The challenging ultrasound diagnosis of perforated appendicitis in children:constellations of sonographic findings improve specificity[J].Pediatr Radiol,2015,45(6):820-830.
[13] 栾成武.小切口手术治疗急性阑尾炎的效果观察[J].中国卫生标准管理,2015,6(27):64-65.
[14] 武飚.微创小切口与传统手术在急性阑尾炎中的临床应用比较[J].中国药物与临床,2017,17(1):129-131.