Lapro-Clip可吸收夹在改良三孔腹腔镜阑尾切除术中的应用研究
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摘要
目的探讨Lapro-Clip可吸收夹在改良三孔腹腔镜阑尾(LA)切除术中的应用研究,总结腹腔镜阑尾切除术的临床价值。方法选择2017年1~4月入住我院普外科的50例急、慢性阑尾炎患者,随机分为改良组和传统组,各25例。改良组采用Lapro-Clip可吸收夹,传统组采用传统三孔根部结扎或可吸收线套扎+荷包缝合包埋残端方法处理,比较两组的手术时间、阑尾根部处理时间、排气时间、住院费用及并发症发生率。结果改良组的手术时间、阑尾根部处理时间、排气时间显著短于传统组,差异有统计学意义(P<0.05)。两组的并发症发生率、住院费用比较,差异无统计学意义(P>0.05)。结论 Lapro-Clip可吸收夹在改良三孔LA中具有简单易学、恢复快、安全性可靠等优点,且费用无增加,值得临床推广应用。
Objective To investigate the application research of Lapro-Clip absorbable clamp in modified three-port laparoscopic appendectomy(LA) and to sum up the clinic value of LA.Methods 50 patients with acute and chronic appendicitis in Department of General Surgery in our hospital from January 2017 to April 2017 were selected and randomly divided into the modified group and the conventional group,25 cases in each group.The modified group was treated by Lapro-Clip absorbable clamp in modified three-port LA,and the conventional group was given conventional three-port high ligation or loop ligature with absorbable suture and purse-string suture.Operating time,treated time of appendix root,exhausting time,hospitalization expen se and the incidence rate of complication were compared between the two groups.Results Operating time,treated time of appendix root,exhausting time of the modified group was shorter than that of the conventional group,with significant difference(P<0.05).There was no significant difference in the incidence rate of complication rate and hospitalization expense(P>0.05).Conclusion Lapro-Clip absorbable clamp shows the advantages of easiness to learn,rapid recovery,security and reliability and no increased expense,it is worthy of clinical promotion and application.
Objective To investigate the application research of Lapro-Clip absorbable clamp in modified three-port laparoscopic appendectomy(LA) and to sum up the clinic value of LA.Methods 50 patients with acute and chronic appendicitis in Department of General Surgery in our hospital from January 2017 to April 2017 were selected and randomly divided into the modified group and the conventional group,25 cases in each group.The modified group was treated by Lapro-Clip absorbable clamp in modified three-port LA,and the conventional group was given conventional three-port high ligation or loop ligature with absorbable suture and purse-string suture.Operating time,treated time of appendix root,exhausting time,hospitalization expen se and the incidence rate of complication were compared between the two groups.Results Operating time,treated time of appendix root,exhausting time of the modified group was shorter than that of the conventional group,with significant difference(P<0.05).There was no significant difference in the incidence rate of complication rate and hospitalization expense(P>0.05).Conclusion Lapro-Clip absorbable clamp shows the advantages of easiness to learn,rapid recovery,security and reliability and no increased expense,it is worthy of clinical promotion and application.
引文
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[10]刘吉平,张国胜,高志伟.可吸收夹在改良式两孔腹腔镜阑尾切除术中的应用[J].中国微创外科杂志,2014,14(2):124-125,128.
[11]陈金水,张少炎,张罕松,等.三种阑尾根部处理方法在腹腔镜阑尾切除术中效果观察[J].人民军医,2014,11(57):1193-1195.
[12]邱庆安,杨毅军,刘宁,等.免钛夹和套扎器的腹腔镜逆行阑尾切除[J].中国内镜杂志,2011,17(4):443-444.
[13]贺艳阁,孙洪林,刘海涛.腹腔镜阑尾切除术的疗效观察[J].中国实用医药,2011,6(13):136-137.
[14]王肇伟.阑尾炎的微创外科手术治疗的临床疗效观察[J].中国当代医药,2011,18(11):176-177.
[15]梁天伟,孙轶,卢永刚,等.腹腔镜阑尾切除术中两种方法处理阑尾根部的对比分析[J].局解手术学杂志,2011,20(2):164-165.
[2]孙发贵,孙廓.腹腔镜与开腹手术治疗急性阑尾炎比较[J].中国临床医学,2008,15(3):368.
[3]苏拓,李若凡,高旭.缝扎阑尾根部并荷包包埋阑尾残端在腹腔镜阑尾切除术的应用[J].中国临床保健杂志,2014,17(6):645.
[4]司徒升,余建雄,周沛华,等.腹腔镜阑尾切除术术中阑尾系膜的不同处理方式[J].中华腔镜外科杂志(电子版),2011,4(1):29.
[5]买买提明·阿吉,牛伟亚,王志,等.腹腔镜胆囊切除术中应用钛夹与可吸收夹的临床对比分析[J].创新交流,2010,18(2):29,33.
[6]蒋秀娟,谢晓秀,雷春梅.腹腔镜胆囊切除术中钛夹丢失原因及防范对策[J].四川医学,2016,37(11):1294-1295.
[7]朱应昌,梁伟潮,陈烈欢,等.改良小操作孔无钛夹腹腔镜阑尾切除术103例[J].实用医学杂志,2010,26(14):2592-2594.
[8]官伟军,郑小平,麦显强,等.Hem-o-lok结扎锁在腹腔镜阑尾切除术中的应用[J].中国微创外科杂志,2012,12(5):441-443.
[9]石玲东,杨斌,唐阳林,等.华阳可吸收结扎夹在胆囊摘除术中应用的研究[J].中外健康文摘,2012,9(11):14-16.
[10]刘吉平,张国胜,高志伟.可吸收夹在改良式两孔腹腔镜阑尾切除术中的应用[J].中国微创外科杂志,2014,14(2):124-125,128.
[11]陈金水,张少炎,张罕松,等.三种阑尾根部处理方法在腹腔镜阑尾切除术中效果观察[J].人民军医,2014,11(57):1193-1195.
[12]邱庆安,杨毅军,刘宁,等.免钛夹和套扎器的腹腔镜逆行阑尾切除[J].中国内镜杂志,2011,17(4):443-444.
[13]贺艳阁,孙洪林,刘海涛.腹腔镜阑尾切除术的疗效观察[J].中国实用医药,2011,6(13):136-137.
[14]王肇伟.阑尾炎的微创外科手术治疗的临床疗效观察[J].中国当代医药,2011,18(11):176-177.
[15]梁天伟,孙轶,卢永刚,等.腹腔镜阑尾切除术中两种方法处理阑尾根部的对比分析[J].局解手术学杂志,2011,20(2):164-165.