探讨肠镜下治疗急性阑尾炎的临床效果  

To Explore the Clinical Effect of Colonoscopy in the Treatment of Acute Appendicitis

作　　者：范文[1] 赵晶[1] 周森[1] FAN Wen;ZHAO Jing;ZHOU Sen(Digestive Endoscopy Center,Heilongjiang Provincial Hospital,Harbin Heilongjiang 150001,China)

机构地区：[1]黑龙江省医院消化内镜中心,黑龙江哈尔滨150001

出　　处：《中国继续医学教育》2018年第36期58-59,共2页China Continuing Medical Education

摘　　要：目的探讨分析肠镜下治疗急性阑尾炎的治疗效果。方法选择2016年1月—2018年6月在我院接受治疗的80例急性阑尾炎患者作为研究对象。按照治疗方法不同分为对照组和观察组,每组各40例。对照组采用传统腹腔镜下三孔阑尾切除术进行治疗,观察组运用肠镜治疗,比较两组患者的治疗效果与术后恢复情况。结果观察组患者的平均手术时间、住院时间、住院费用与术后肛门排气时间均低于对照组,差异具有统计学意义(P <0.05);观察组患者术后疼痛与并发症发生率低于对照组,且腹痛缓解时间低于对照组,差异具有统计学意义(P <0.05)。结论采用肠镜治疗急性阑尾炎效果较好,操作简单方便,安全有效,术后恢复较快。Objective To investigate the therapeutic effect of colonoscopy in the treatment of acute appendicitis. Methods 80 cases of patients with acute appendicitis treated in our hospital from January 2016 to June 2018 were selected as the study subjects. According to different treatment methods, they were divided into control group and observation group, 40 cases in each group. The control group was treated with traditional laparoscopic three-hole appendectomy. The observation group was treated with enteroscopy. The therapeutic effect and postoperative recovery of the two groups were compared. Results The average operation time, hospitalization time, hospitalization expenses and postoperative anal exhaust time in the observation group were lower than those in the control group, and the difference was statistically significant(P < 0.05). The incidence of postoperative pain and complications in the observation group was lower than that in the control group, and the relief time of abdominal pain was lower than that in the control group, the difference was statistically significant(P < 0.05). Conclusion The treatment of acute appendicitis with colonoscopy is effective, simple and convenient to operate, safe and effective, and quick recovery after surgery.

关 键 词：结肠镜 急性阑尾炎 手术治疗 临床效果 

分 类 号：R574[医药卫生—消化系统]