腹腔镜阑尾切除术残端处理的体会  

The experience of the treatment of residual for laparoscopic appendectomy

作　　者：甘明强[1] 吴晓阳[1] 杨栋[1] 沈晓军[1] 

机构地区：[1]江苏昆山市第一人民医院胃肠外科,昆山215300

出　　处：《河南外科学杂志》2017年第5期10-12,共3页Henan Journal of Surgery

摘　　要：目的总结腹腔镜阑尾切除术残端处理的体会。方法选取2014-01—2016-12间在昆山市第一人民医院接受腹腔镜阑尾切除术的106例阑尾炎患者。根据不同残端处理方法分为2组,各53例。观察组采用Hem-o-lok夹闭阑尾残端,或使用套圈器丝线套扎加强。对照组应用圈套器套扎阑尾残端后,同时再行外科打结加强。比较2组手术时间、住院时间及并发症发生率。结果 2组患者均顺利完成腹腔镜手术。2组手术时间、住院时间及并发症发生率比较,差异无统计学意义(P>0.05)。术后随访3个月,患者均未发生粘连性肠梗阻。结论腹腔镜阑尾切除术的两种残端处理方法均安全可靠,应根据阑尾根部情况加以选择。Objective To summarize the experience of the treatment of the residual end of laparoscopic appendectomy. Methods Totally 106 patients with appendicitis underwent laparoscopic appendectomy in our hospital from January 2014 to December 2016 were chosen as the research objects,and they were divided into observation group and control group according to the grouping method of random number table,53 cases in each group. The observation group were given the appendiceal stump directly to Hem-o-lok clipping,or add a ferrule for silk thread ligation. Whlie the control group were treated a surgical knot based on appendiceal stump snare ligation at the same time again. The operation time,hospital stay and complications between the two groups were observed and compared. Results Laparoscopic surgery was successfully performed in the 2 groups. There was no difference of the operation,there was no significant difference in operation time,hospitalization time and complication rate between the 2 groups（ P 〉0. 05）. All patients were followed up for three months,and all patients had no complications such as intestinal adhesion. Conclusion The treatment of two kinds of appendectomy under laparoscope is safe and reliable,and the corresponding treatment method should be selected according to the root of the appendix.

关 键 词：腹腔镜 阑尾切除 残端处理 

分 类 号：R656.8[医药卫生—外科学]