子母镜逆行技术对阑尾炎的诊断及治疗效果  

Application of Retrograde Therapy of Mother-Baby Endoscopy in Diagnosis and Treatment of Appendicitis

作　　者：刘希 尚书 LIU Xi;SHANG Shu(Department of Endoscopy,the Fifth People's Hospital of Shenyang,Shenyang Liaoning 110023)

机构地区：[1]沈阳市第五人民医院内镜诊疗中心,辽宁沈阳110023

出　　处：《医学临床研究》2024年第6期875-877,881,共4页Journal of Clinical Research

摘　　要：【目的】探讨子母镜逆行技术对阑尾炎的诊断及治疗效果。【方法】回顾性分析2022年4月至2023年1月在本院内镜诊疗中心就诊的21例阑尾炎患者的临床资料,其中男13例,女8例,采用子母镜逆行治疗技术对患者进行诊查及治疗,子镜经母镜通道进入阑尾腔内,行子镜直视下探查和治疗,分析治疗结果。【结果】术中发现患者有不同程度的阑尾开口水肿、阑尾黏膜充血肿胀、阑尾腔增宽。取石和治疗过程顺利,治疗时间15~40(23.3±7.5)min,未见出血及穿孔等并发症。治疗后即刻或1 d内患者腹痛症状均能缓解,无感染及发烧,术后常规应用抗生素2~3 d出院。并发症及随访结果:21例患者术后随访时间2~10个月,随访期间无腹痛症状复发,无感染情况发生。【结论】子母镜逆行治疗技术可以直接进入阑尾腔内进行观察和操作,无需借助造影剂及X线,诊治更精准,对于非复杂性阑尾炎阑尾粪石的治疗有效,为阑尾疾病的诊治提供了新的选择。【Objective】To explore the effects of retrograde therapy of mother-baby endoscopy in diagnosis and treatment of appendicitis.【Methods】To explore the diagnostic and therapeutic effects of retrograde hysteroscopy on appendicitis.Method:A retrospective analysis was conducted on the clinical data of 21 patients with appendicitis who visited the Endoscopic Diagnosis and Treatment Center of our hospital from April 2022 to January 2023,including 13 males and 8 females.Diagnosis and treatment of patients using retrograde treatment technique with mother-baby endoscopy;The sub endoscopy entered the appendix cavity through the mother mirror channel,and underwent exploration and treatment under the direct view of the sub endoscopy,the treatment results was analyzed.【Results】During the surgery,it was found that the patient had varying degrees of edema of the appendix opening,congestion and swelling of the appendix mucosa,and enlargement of the appendix cavity.The stone removal and treatment process went smoothly,with a treatment time of 15-40(23.3±7.5)minutes,and no complications such as bleeding or perforation were observed.The patient's abdominal pain symptoms can be relieved immediately or within 1 day after treatment,and there was no infection or fever.After surgery,antibiotics are routinely used for 2-3 days before discharge.Complications and follow-up results:21 patients were followed up for 2-10 months after surgery,with no recurrence of abdominal pain or infection during the follow-up period.【Conclusion】The retrograde treatment technique of hysteroscopy can directly enter the appendix cavity for observation and operation,without the need for contrast agents and X-rays,making the diagnosis and treatment more accurate.It is effective for the treatment of non complex appendicitis and fecal stones in the appendix,providing a new choice for the diagnosis and treatment of appendiceal diseases.

关 键 词：阑尾炎/外科学 阑尾炎/诊断 内窥镜检查 

分 类 号：R574.61[医药卫生—消化系统]