免气腹腹腔镜阑尾切除术、气腹腹腔镜阑尾切除术治疗老年阑尾炎的临床效果研究  

Clinical Effect of Two Kinds of Minimally Invasive Surgery(Pneumaticfree Laparoscopic Appendectomy Treatment,Pneumoperitoneal Laparoscopic Appendectomy Treatment) on Senile Appendicitis

作　　者：马洪新 李桂华 MA Hongxin;LI Guihua(Department of Surgery,Zaozhuang Dermatology and Venereal Disease Prevention and Treatment Hospital,Tengzhou,Shandong Province,277599 China;Department of Pharmacy,Mushi Town Health Center,Tengzhou,Shandong Province,277527 China)

机构地区：[1]枣庄市皮肤病性病防治院外科,山东滕州277599 [2]滕州市木石镇卫生院药房,山东滕州277527

出　　处：《中外医疗》2023年第5期50-53,共4页China & Foreign Medical Treatment

摘　　要：目的 探讨分别采用免气腹腹腔镜阑尾切除术、气腹腹腔镜阑尾切除术治疗老年阑尾炎患者的临床效果。方法 随机选取枣庄市皮肤病性病防治院2018年1月—2020年12月收治的老年阑尾炎患者80例作为研究对象,依据治疗方法不同分为研究组及参照组,各40例。研究组选择免气腹腹腔镜阑尾切除术,参照组选择气腹腹腔镜阑尾切除术进行治疗。比较两组患者治疗结果。结果 研究组术中失血量、手术时间、腹痛持续时间、肛门排气时间、住院时间同参照组比较,差异无统计学意义(P>0.05);研究组肠道功能恢复时间短于参照组,差异有统计学意义(P<0.05);研究组酸中毒、伤口感染、皮下气肿发生率同参照组比较,差异无统计学意义(P>0.05);研究组发热(5.00%)以及肺部感染发生率(7.50%)均低于参照组,差异有统计学意义(χ^(2)=5.164、5.541,P<0.05)。结论 免气腹腹腔镜阑尾切除术有效运用,同气腹腹腔镜阑尾切除术比较,能够有效缩短肠道功能恢复时间,有效降低发热以及肺部感染发生率,促进老年阑尾炎患者总体预后水平显著提升。Objective To explore the clinical effect of pneumatic-free laparoscopic appendectomy and pneumoperitoneal laparoscopic appendectomy on elderly patients with appendicitis.Methods 80 elderly patients with appendicitis admitted to Zaozhuang Dermatology and Venereal Disease Prevention and Treatment Hospital from January 2018 to December 2020 were selected randomly as the research objects.According to different treatment methods,they were divided into study group and control group,with forty cases each.The study group selected pneumatic-free laparoscopic appendectomy,and the control group selected pneumoperitoneal laparoscopic appendectomy for treatment.The treatment results of the two groups were compared.Results There was no statistically significant difference in intraoperative blood loss,operation time,the duration of abdominal pain,anal exhaust time and hospital stay between the study group and the control group(P>0.05).The recovery time of intestinal function in the study group was shorter than that in the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in the incidence of acidosis,wound infection and subcutaneous emphysema between the study group and the control group(P>0.05).The incidence of fever(5.00%)and pulmonary infection(7.50%)in the study group were lower than those in the control group,and the difference was statistically significant(χ^(2)=5.164,5.541,P<0.05).Conclusion Compared with pneumoperitoneal laparoscopic appendectomy,the effective application of pneumatic-free laparoscopic appendectomy can effectively shorten the recovery time of intestinal function,effectively reduce the incidence of fever and lung infection,and significantly improve the overall prognosis of elderly patients with appendicitis.

关 键 词：免气腹腹腔镜阑尾切除术 气腹腹腔镜阑尾切除术 老年阑尾炎 治疗效果 

分 类 号：R4[医药卫生—临床医学]