腹腔镜系膜剥离法阑尾切除术治疗慢性阑尾炎急性发作的疗效观察  

Clinical Observation of Laparoscopic Mesangial Dissection in the Treatment of Acute Appendicitis

作　　者：刘天牧 LIU Tian-mu(North Theater General Hospital,Liaoning Shenyang 110016)

机构地区：[1]北部战区总医院,辽宁沈阳110016

出　　处：《中国医疗器械信息》2022年第9期110-112,共3页China Medical Device Information

摘　　要：目的:探究慢性阑尾炎疾病发作时应用腹腔镜系膜剥离法阑尾切除术治疗的效果。方法:选择2019年11月~2020年5月本院收治的慢性阑尾炎急性发作的120例患者,将患者随机分组进行治疗,即接受腹腔镜系膜剥离法阑尾切除术治疗的观察组与接受基础阑尾切除术治疗的对照组,每组均为60例,观察两组患者治疗效果、手术指标与并发症情况。结果:观察组平均手术时间较对照组时间短,差异有统计学意义,P<0.05;对照组在Trocar活动性出血占比16.7%大于观察组5.0%,存在统计学差异,P<0.05;观察组患者穿刺口感染1例、占比1.7%、盆腔感染3例、占比5.0%;对照组患者穿刺口感染2例、占比3.3%、盆腔感染4例、占比6.7%,两组并发症产生对比不存在显著差异,P>0.05。结论:腹腔镜系膜剥离法阑尾切除术对慢性阑尾炎急性发作疾病治疗的效果理想,出血率低,并发症较低,具有较高的安全性与可靠性。Objective:To explore the effect of laparoscopic mesangial dissection appendectomy in the treatment of chronic appendicitis.Methods:A total of 120 patients with acute exacerbation of chronic appendicitis who were admitted to our hospital from November 2019 to May 2020 were selected,and the patients were randomly divided into groups for treatment,namely the practice group who received laparoscopic mesangial dissection appendectomy and those who received the basic group.There were 60 cases in the basic group of appendectomy,and the treatment effect,surgical indicators and complications of the two groups were observed.Results:The average operation time of the observation group was shorter than that of the control group,and the difference was statistically significant,P<0.05;The proportion of active bleeding in Trocar in the control group was 16.7%higher than that in the observation group,5.0%,with statistical difference,P<0.05;In the observation group,there was 1 case of puncture infection,accounting for 1.7%,and 3 cases of pelvic infection,accounting for 5.0%;There were 2 cases of puncture infection in the control group,accounting for 3.3%,and 4 cases of pelvic infection,accounting for 6.7%.There was no significant difference in complications between the two groups,P>0.05.Conclusion:Laparoscopic mesangial dissection appendectomy is effective in the treatment of acute exacerbation of chronic appendicitis,with low bleeding rate and low complications.It has certain safety and reliability.

关 键 词：腹腔镜系膜剥离法 阑尾切除术 慢性阑尾炎 急性发作 效果观察 

分 类 号：R61[医药卫生—外科学]