腹腔镜阑尾切除术阑尾系膜不同处理方法的比较  

Comparison of treating methods on mesenteriolum in three different laparoscopic appendectomies

作　　者：包炎毅[1] 阎波[1] 朱雯怡[1] 侯坤[1] 

机构地区：[1]上海市浦南医院,上海200125

出　　处：《腹腔镜外科杂志》2008年第1期57-58,共2页Journal of Laparoscopic Surgery

摘　　要：目的:比较腹腔镜阑尾切除术阑尾系膜3种处理方法的优缺点。方法:根据阑尾系膜处理方法的不同,将50例腹腔镜阑尾切除术患者分成3组,其中结扎组15例,钛夹组20例,超声刀组15例,比较其疗效、手术时间及预后。结果:超声刀组用时最少,费用最高;结扎组用时最长,费用最低;钛夹组介于二者之间。结论:在确保止血效果的前提下,根据术者的经验和能力、设备条件及患者的经济承受能力选择适宜的方法。Objective：To compare the advantages and disadvantages of treating methods on mesenteriolum in three different laparoscopic appendectomies. Methods： According to treating methods in laparoscopic appendectomy, 50 cases performed with laparoscopic appendectomy were divided into three groups,ligation group （15 cases）,titanium clip group （20 cases） and ultrasound knife group （ 15 cases）. The effect, operative time and prognosis were respectively compared among groups. Results：Among the three groups, ultrasound knife group had the shortest operative time and the highest cost, ligation group had the longest operation time and the lowest cost ,while titanium clip group was between the anterior two groups. Conclusions：Proper treating method should be chosen according to experience and ability of the surgeon, equipment condition of the hospital and financial capacity of the patient to ensure the hemostasis effect.

关 键 词：阑尾炎 阑尾切除术 腹腔镜术 

分 类 号：R656.8[医药卫生—外科学]