腹腔镜阑尾切除术对复杂性阑尾炎治疗的临床疗效评价
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摘要
目的比较腹腔镜阑尾切除术在急性化脓性阑尾炎与复杂性阑尾炎中的应用,评价其治疗复杂性阑尾炎的疗效。方法回顾性分析腹腔镜阑尾切除术治疗急性化脓性阑尾炎82例和复杂性阑尾炎36例的临床资料,比较其手术时间、术后通气时间、住院时间、并发症、术中转开腹率、治疗总有效率。结果复杂性阑尾炎组手术时间明显长于急性化脓性阑尾炎组(P<0.05),但术后通气时间、住院时间、并发症、术中转开腹率、治疗总有效率差异均无统计学意义(P>0.05)。结论腹腔镜阑尾切除术适用于复杂性阑尾炎的治疗。
Objective To compare the application of laparoscopic appendectomy(LA) in acute suppurative appendicitis and complex appendicitis, and to evaluate the efficacy of LA for complex appendicitis. Methods Retrospective analysis was used for clinical data of 82 patients with acute suppurative appendicitis and 36 patients with complicated appendicitis performed by LA. The operation time, postoperative ventilation time, hospitalization time, complications, intraoperative conversion to laparotomy rate, and the total effective rate of treatment is compared and evaluated. Results The operation time of the complex appendicitis group was significantly longer than that of the acute suppurative appendicitis group(P<0.05). However, there were no significant difference in postoperative ventilation time, hospitalization time, complication rate, intraoperative laparotomy rate and the total effective rate of treatment between the two groups(P>0.05). Conclusion LA was suitable for the treatment of complex appendicitis.
Objective To compare the application of laparoscopic appendectomy(LA) in acute suppurative appendicitis and complex appendicitis, and to evaluate the efficacy of LA for complex appendicitis. Methods Retrospective analysis was used for clinical data of 82 patients with acute suppurative appendicitis and 36 patients with complicated appendicitis performed by LA. The operation time, postoperative ventilation time, hospitalization time, complications, intraoperative conversion to laparotomy rate, and the total effective rate of treatment is compared and evaluated. Results The operation time of the complex appendicitis group was significantly longer than that of the acute suppurative appendicitis group(P<0.05). However, there were no significant difference in postoperative ventilation time, hospitalization time, complication rate, intraoperative laparotomy rate and the total effective rate of treatment between the two groups(P>0.05). Conclusion LA was suitable for the treatment of complex appendicitis.
引文
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[8] 韩啸.腹腔镜治疗急性化脓性阑尾炎与开腹手术的疗效比较[J].中国医药指南,2018,16(01):60-61.
[9] 王智全.开腹手术与腹腔镜手术用于治疗急性化脓性阑尾炎临床比较[J].吉林医学,2013,34(11):2046-2047.
[10] 成良栋,李春桥,李世宽.急性复杂性阑尾炎发病高危因素[J].临床医学研究与实践,2018,3(06):106-107.
[11] Krukowski ZH,Irwin ST,Denholm S,et al.Preventing wound infection after appendicectomy:a review[J].Br J Surg,2010,75(10):1023-1033.
[12] 何世冬,赵普,诸曷晋,等.腹腔镜阑尾切除术的手术体会[J].医学理论与实践,2014,27(18):2446-2447.
[2] Cash C,Frazee R.Improvements in laparoscopic treatment for complicated appendicitis[J].J Laparoendosc Adv A,2012,22(6):581.
[3] Gu LS,Eun JA,Seong YK,et al.A clinical comparison of laparoscopic versus open appendectomy for complicated appendicitis[J].J Korean Soc Coloproctol,2011,27(6):293-297.
[4] 裴杰,贾彬.腹腔镜阑尾切除术的进展及应用[J].中国现代药物应用,2013,7(1):106-108.
[5] 郑民华,马君俊.3D腹腔镜手术技术专家共识(2015)[J].中国实用外科杂志,2015,35(9):967-969.
[6] 周霖,熊勇,刘海燕.腹腔镜与开腹手术治疗急性阑尾炎的临床疗效及安全性比较[J].中国医药科学,2018,8(12):219-221.
[7] 尹克宁,卓凡.单孔腹腔镜手术治疗急性阑尾炎的临床疗效[J].腹腔镜外科杂志,2018,23(02):109-112.
[8] 韩啸.腹腔镜治疗急性化脓性阑尾炎与开腹手术的疗效比较[J].中国医药指南,2018,16(01):60-61.
[9] 王智全.开腹手术与腹腔镜手术用于治疗急性化脓性阑尾炎临床比较[J].吉林医学,2013,34(11):2046-2047.
[10] 成良栋,李春桥,李世宽.急性复杂性阑尾炎发病高危因素[J].临床医学研究与实践,2018,3(06):106-107.
[11] Krukowski ZH,Irwin ST,Denholm S,et al.Preventing wound infection after appendicectomy:a review[J].Br J Surg,2010,75(10):1023-1033.
[12] 何世冬,赵普,诸曷晋,等.腹腔镜阑尾切除术的手术体会[J].医学理论与实践,2014,27(18):2446-2447.