经半月线小切口阑尾切除术治疗急性阑尾炎患者的临床效果  

Clinical Effect of Appendectomy via Semilunar Line Small Incision in the Treatment of Patients with Acute Appendicitis

作　　者：高钟磊 樊石勇 GAO Zhonglei;FAN Shiyong(Department of Surgery,Zhengzhou Xinhua Hospital,Zhengzhou 452370,China)

机构地区：[1]郑州新华医院外科,河南郑州452370

出　　处：《临床医学工程》2024年第5期559-560,共2页Clinical Medicine & Engineering

摘　　要：目的探讨经半月线小切口阑尾切除术治疗急性阑尾炎患者的临床效果。方法选取2021年6月至2022年12月在我院行阑尾切除术治疗的80例急性阑尾炎患者,根据手术切口不同将其分为研究组(n=43)和对照组(n=37)。研究组接受经半月线小切口阑尾切除术治疗,对照组接受McBurney切口阑尾切除术治疗,比较两组手术相关指标、炎性反应指标(CRP、PCT、SICAM-1)及并发症发生率。结果研究组术中出血量、切口长度低于对照组,手术时间、肠胃功能恢复时间、住院时间短于对照组(P<0.05)。术后3 d,研究组血清CRP、SICAM-1、PCT水平均低于对照组(P<0.05)。研究组并发症发生率(4.65%vs.16.22%)比较差异无统计学意义(P>0.05)。结论经半月线小切口阑尾切除术治疗急性阑尾炎患者的手术创伤较小,可明显减轻患者机体炎性反应,加速术后康复进程,且安全性较高。Objective To explore the clinical effect of appendectomy via semilunar line small incision in the treatment of patients with acute appendicitis.Methods 80 patients with acute appendicitis undergoing appendectomy in our hospital from June 2021 to December 2022 were selected and divided into study group(n=43)and control group(n=37)according to different operation incisions.The study group was treated with appendectomy via semilunar line small incision,and the control group was treated with McBurney's incision appendectomy.The operation-related indicators,inflammatory response indicators(CRP,PCT,SICAM-1)and incidence of complications were compared between the two groups.Results The intraoperative blood loss and incision length of the study group were lower than those of the control group,and the operation time,gastrointestinal function recovery time and hospitalization time were shorter than those of the control group(P<0.05).3 days after operation,the serum CRP,SICAM-1 and PCT levels of the study group were lower than those of the control group(P<0.05).No statistical difference was found in the incidence of complications(4.65%vs.16.22%)between the two groups(P>0.05).Conclusions Appendectomy via semilunar line small incision in the treatment of patients with acute appendicitis has less trauma,which can significantly reduce body inflammatory response,and accelerate the postoperative rehabilitation process with higher safety.

关 键 词：急性阑尾炎 半月线小切口 阑尾切除术 炎性反应 并发症 

分 类 号：R656.8[医药卫生—外科学]