摘要
目的 观察分析阑尾炎患者应用小切口阑尾切除术的治疗效果。方法 选取我院2013年6月-2014年6月收治的84例阑 尾炎患者,通过随机分组法分为观察组(n=42)和对照组(n=42),对照组患者采用传统阑尾炎切除术,观察组患者采 用小切口阑尾切除术,科学评估两组患者临床治疗效果。结果 观察组患者手术时间、术中出血量、切口长度、住 院时间等指标数值相比于对照组明显降低(P<0.05);观察组患者肠瘘、肠梗阻、皮下气肿、感染等并发症发生率较 对照组更低(P<0.05),差异具有统计学意义。结论 针对阑尾炎患者,小切口阑尾切除术具有创伤小、出血量少、 并发症少、住院时间短等优势,有利于提高临床治疗效果,安全性更高,值得临床推广应用。
Objective To analyze the clinical effect of small incision appendectomy for appendicitis. Methods From Jun. 2013 to Jun. 2014, a total of 84 patients with appendicitis were selected in our hospital, and they were randomly divided into observation group (42 cases) and control group (42 cases). Patients in the control group were given conventional appendectomy, the other patients in the observation group were given small incision appendectomy. After treatment, the clinical effects of these two groups were evaluated. Results The indicators such as operation time, intra-operative blood loss, incision length, and hospitalization time of the observation group were significantly lower than those of the control group(P<0.05), the incidences of intestinal fistula, intestinal obstruction, subcutaneous emphysema and infection in the observation group were also significantly lower than those in the control group(P<0.05), and their differences were statistically significant. Conclusion For patients with appendicitis, small incision appendectomy which can improve the clinical effects has advantage of less trauma, less bleeding, fewer complications and shorter hospitalization time . Thus, it is worthy of clinical application.
【关键词】阑尾炎;小切口阑尾切除术;临床效果
【中图分类号】R656.8
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2016.02.018
前言
阑尾炎是外科临床常见病和多发病,临床以急性 阑尾炎较为常见,男性发病率高于女性。阑尾炎发病 原因和机制较为复杂,多于阑尾腔内感染、梗阻、腹 泻、便秘、血供障碍、黏膜受损等因素有关[1],临床 多表现为腹痛、发热、恶心呕吐、腹肌紧张等症状, 直接影响患者正常生活与工作。临床治疗阑尾炎以手 术为主,手术操作简单、疗效显著,是治疗阑尾炎较 为成熟的手段。随着医疗技术飞速发展,微创技术水 平不断提高,小切口阑尾炎切除术因创伤小、并发症 少、恢复快等优势,受到了临床医师和患者的青睐。 为分析小切口阑尾炎切除术的治疗效果,我院针对84 例阑尾炎患者作研究,将研究结果报道如下。
罕少疾病杂志
第23卷, 第 3 期
2019年11月
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