急性阑尾炎患者的腹腔镜下系膜剥离模式阑尾切除治疗效果分析  

Effect of Laparoscopic Mesangial Dissection in Patients with Acute Appendicitis

作　　者：吴宜平 张云[2] WU Yiping;ZHANG Yun(Department of General Surgery,Yixing Fifth People's Hospital,Yixing,Jiangsu Province,214200 China;Department of General Surgery,Yixing People's Hospital,Yixing,Jiangsu Province,214200 China)

机构地区：[1]江苏省宜兴市第五人民医院普外科,江苏宜兴214200 [2]江苏省宜兴市人民医院普外科,江苏宜兴214200

出　　处：《世界复合医学》2023年第8期168-170,174,共4页World Journal of Complex Medicine

摘　　要：目的研究和分析腹腔镜下系膜剥离模式阑尾切除治疗急性阑尾炎患者的效果。方法选择2018年1月—2023年2月在江苏省宜兴市第五人民医院普外科接受治疗的60例急性阑尾炎患者为研究对象,根据单双数法进行分组,单数分到观察组(n=30),双数分到对照组(n=30)。对照组行腹腔镜下常规阑尾切除术,观察组行腹腔镜下系膜剥离模式阑尾切除术。对两组围术期指标水平、胃肠功能恢复时间、并发症发生率进行对比分析。结果与对照组比较,观察组术中失血量更少,住院、手术、术后下床活动时间更短,差异有统计学意义(P<0.05)。与对照组比较,观察组各项胃肠功能恢复用时均更短,差异有统计学意义(P<0.05)。观察组并发症发生率为3.33%,显著低于对照组的20.00%,差异有统计学意义(χ^(2)=4.043,P<0.05)。结论腹腔镜下系膜剥离模式阑尾切除治疗急性阑尾炎,对患者的损伤更小,手术时间更短,术后胃肠功能恢复得更快,且具有较高的安全性,值得推广应用。Objective To study and analyze the effect of laparoscopic mesangial dissection appendectomy in the treatment of patients with acute appendicitis.Methods 60 patients with acute appendicitis who received treatment at the Department of General Surgery of Yixing Fifth People's Hospital from January 2018 to February 2023 were selected as the research subjects.They were divided into the observation group with singular number(n=30)and the control group with even number(n=30)according to odd-even number method.The control group underwent laparoscopic routine appendectomy,and the observation group underwent laparoscopic mesangial dissection.The level of perioperative indexes,recovery time of gastrointestinal function and incidence of complications were compared between the two groups.Results Compared with the control group,the observation group had less intraoperative blood loss and shorter time spent in hospitalization,operation and getting out of bed after operation,and the difference was statistically significant(P<0.05).Compared with the control group,the recovery time of various gastrointestinal functions in the observation group was shorter,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group was 3.33%,which was significantly lower than that in the control group 20.00%,and the difference was statistically significant(χ^(2)=4.043,P<0.05).Conclusion Laparoscopic mesangial dissection appendectomy in the treatment of acute appendicitis has less damage to patients,shorter operation time,faster postoperative gastrointestinal function recovery,and has high safety,which is worthy of popularization and application.

关 键 词：急性阑尾炎 腹腔镜 系膜剥离模式 阑尾切除术 

分 类 号：R4[医药卫生—临床医学]