隐疤痕改良三孔法腹腔镜阑尾切除术的临床应用  

Clinical application of modified three-hole laparoscopic appendectomy with hidden scars

作　　者：万冰 张善忠 刘芩 

机构地区：[1]江西省景德镇市第一人民医院胃肠外科,江西景德镇333000

出　　处：《中国当代医药》2017年第27期15-17,共3页China Modern Medicine

基　　金：江西省卫生计生委科技计划项目(20177183)

摘　　要：目的探讨隐瘢痕改良三孔法腹腔镜阑尾切除术的临床应用效果。方法选取我院2015年3月~2016年8月收治的100例阑尾切除术患者作为实验对象,随机分成实验组与对照组,各50例。对照组使用传统开腹阑尾切除术治疗,实验组使用隐瘢痕改良三孔法腹腔镜阑尾切除术治疗,比较两组患者临床指标情况、并发症发生率、止痛药应用率及腹腔引流管放置率。结果实验组患者术中出血量明显少于对照组(P<0.05),实验组患者平均住院时间短于对照组(P<0.05),实验组患者平均切口长度明显短于对照组,差异均有统计学意义(P<0.05);实验组并发症发生率为16.0%(8/50),对照组为42.0%(21/50),实验组显著低于对照组,差异有统计学意义(P<0.05);实验组患者的止痛药使用率及腹腔引流管放置率都明显低于对照组,差异有统计学意义(P<0.05)。结论隐瘢痕改良三孔法腹腔镜阑尾切除术的临床应用效果较好,有效降低了术后并发症发生率,恢复快、创伤小,值得使用与推广。Objective To evaluate the clinical application effect of modified three-hole laparoseopic appendectomy with hidden scars.Methods 100 patients undergoing appendectomy who were admitted to our hospital from March 2015 to August 2016 were selected as the experimental subjects.They were randomly divided into experimental group and con- trol group,with 50 cases in each group.The control group was given conventional open appendectomy, and the experi- mental group was givenmodified three-hole laparoscopic appendectomy with hidden scars.The clinical indicators,the in- cidence rate of complications,the application rate of analgesia and peritoneal drainage tube placement rate were com- pared and analyzed between the two groups.Results The blood loss during the surgery in the experimental group was significantly lower than that in the control group （P〈0.05）.The average hospital stay was shorter in the experimental group than that in the control group （P〈0.05）;the average incision length in the experimental group was significantly shorter than that in the control group （P〈0.05）;the incidence rate of complication was 16.0% （8/50） in the experimental group and 42.0% （21/50） in the control group,the experimental group was significantly lower than the control group,and the differ- ence was statistically significant （P〈0.05）;the rate of analgesic use and the placement rate of peritoneal drainage tube in the experimental group were significantly lower than those in the control group （P〈0.05）.Conclusion The clinical appli- cation of modified three-hole laparoscopie appendectomy with hidden scars is effective,which can effectively reduce the risk of postoperative complications,with fast recovery and less trauma,which is worthy of application and promotion.

关 键 词：隐瘢痕 三孔法 腹腔镜 阑尾切除术 

分 类 号：R656.8[医药卫生—外科学]