阑尾结石对腹腔镜阑尾切除术治疗急性阑尾炎预后的影响:一项单中心回顾性分析  

Effect of appendicolith on the prognosis of acute appendicitis treated by laparoscopic appendectomy:a single-center retrospective analysis

作　　者：肖建[1] Xiao Jian(Department of General Surgery,Gaoxin Hospital of the First Affiliated Hospital of Nanchang University,Nanchang 330000,Jiangxi,China)

机构地区：[1]南昌大学第一附属医院高新医院普外科,江西南昌330000

出　　处：《右江民族医学院学报》2023年第6期892-895,共4页Journal of Youjiang Medical University for Nationalities

基　　金：江西省卫生健康委科技计划项目(202211639)。

摘　　要：目的探讨阑尾结石对腹腔镜阑尾切除术治疗急性阑尾炎预后的影响。方法回顾性分析南昌大学第一附属医院高新医院普外科2022年3月至2022年11月间行腹腔镜阑尾切除术治疗急性阑尾炎患者的临床资料,共计152例。根据是否合并阑尾结石分为无阑尾结石组、有阑尾结石组,比较两组的性别比例、年龄及腹部手术史等基础特征,分析比较两组的阑尾解剖位置、阑尾最大直径、手术时间、腹腔引流管放置率、术后肛门排气时间、术后并发症、住院时间等指标。结果男性阑尾炎患者阑尾结石发生率较女性患者高,差异有统计学意义(P<0.05);两组年龄、腹部手术史、阑尾解剖位置、手术时间、住院时间差异均无统计学意义(P>0.05)。与无阑尾结石组相比,有阑尾结石组阑尾易增粗肿胀,腹腔引流管放置率高,术后肛门排气时间晚,术后并发症发生率高,两组比较差异均有统计学意义(P<0.05)。结论阑尾结石易导致阑尾增粗、肿胀,同时也会增加腹腔镜手术治疗急性阑尾炎术后并发症发生率。Objective To investigate the effect of appendicolith on the prognosis of acute appendicitis treated by laparoscopic appendectomy.Methods The clinical data of 152 patients with acute appendicitis who underwent laparoscopic appendectomy in the Department of General Surgery,Gaoxin Hospital of the First Affiliated Hospital of Nanchang University from March 2022 to November 2022 were retrospectively analyzed.According to whether appendicolith was combined,the patients were divided into the group without appendicolith and the group with appendicolith,the basic characteristics such as gender ratio,age,and history of abdominal operation were compared between the two groups,the indicators such as anatomical location of the appendix,maximum diameter of the appendix,operation time,rate of abdominal drainage tube placement,time of postoperative anal exhaust,postoperative complications,and hospitalization time were compared between the two groups.Results The incidence of appendicolith was higher in male patients with appendicitis than female patients,and the difference was statistically significant(P<0.05);There were no significant differences in ages,history of abdominal operation,anatomical location of appendix,operation time,and hospitalization time between the two groups(P>0.05).Compared with the group without appendicolith,the group with appendicolith was prone to appendiceal thickening and swelling,and had a higher rate of abdominal drainage tube placement,a later time of postoperative anal exhaust,and a higher incidence of postoperative complications,the difference between the two groups was statistically significant(P<0.05).Conclusion Appendicolith easily leads to the thickening and swelling of the appendix,and also increases the incidence of complications after laparoscopic surgery in acute appendicitis.

关 键 词：阑尾结石 急性阑尾炎 腹腔镜阑尾切除术 预后 

分 类 号：R574.61[医药卫生—消化系统]