腹腔镜下逆行阑尾切除术治疗急性阑尾炎的效果探讨  

Discussion on the Effect of Laparoscopic Retrograde Appendectomy for the Treatment of Acute Appendicitis

作　　者：杨芯 姚敏娟 成显黔 李高峰 YANG Xin;YAO Minjuan;CHENG Xianqian;LI Gaofeng(Department of General Surgery,Dongguan Qishi Hospital,Dongguan 523500,China)

机构地区：[1]东莞市企石医院普外科,广东东莞523500

出　　处：《临床医学工程》2020年第6期705-706,共2页Clinical Medicine & Engineering

摘　　要：目的探讨急性阑尾炎患者行腹腔镜下逆行阑尾切除术的临床疗效。方法选择2018年1月至2019年6月我院收治的急性阑尾炎患者60例,根据手术方式分为两组各30例。对照组行常规开腹手术治疗,观察组行腹腔镜下逆行阑尾切除术治疗,比较两组的治疗效果。结果观察组的手术时间、下床活动时间及住院时间均显著短于对照组,术中出血量显著少于对照组(P <0.05)。术后,观察组的PCT、 CRP水平显著低于对照组(P <0.05)。观察组的术后并发症发生率为6.7%,显著低于对照组的26.7%(P <0.05)。结论腹腔镜下逆行阑尾切除术治疗急性阑尾炎患者,创伤小,安全性高,能够缓解炎性反应。Objective To explore the clinical efficacy of laparoscopic retrograde appendectomy for the treatment of patients with acute appendicitis.Methods 60 patients with acute appendicitis admitted to our hospital from January 2018 to June 2019 were selected and equally divided into two groups according to the surgical schemes.The control group was treated with conventional laparotomy,and the observation group was treated with laparoscopic retrograde appendectomy.The treatment effects of two groups were compared.Results The operation time,out-of-bed activity time and hospitalization time of observation group were significantly shorter than those of control group,and the amount of intraoperative bloos loss was significantly less than that of control group(P<0.05).After surgery,the levels of PCT and CRP of observation group were significantly lower than those of control group(P<0.05).The incidence of postoperative complications of observation group was 6.7%,significantly lower than 26.7%of control group(P<0.05).Conclusions Laparoscopic retrograde appendectomy for the treatment of patients with acute appendicitis has small trauma and high safety,and can alleviate the inflammatory response.

关 键 词：腹腔镜下逆行阑尾切除术 急性阑尾炎 并发症 炎性反应 疗效 

分 类 号：R574.61[医药卫生—消化系统]