单孔腹腔镜阑尾切除术与三孔腹腔镜阑尾切除术对急性阑尾炎的治疗效果研究  

Comparative Study on the Treatment of Acute Appendicitis with Single-Port Laparoscopic Appendectomy and Three-Port Laparoscopic Appendectomy

作　　者：丁祥玺 DING Xiangxi(Department of Surgery,Pingdingshan Maternal and Child Health Hospital,Pingdingshan Henan 467000,China)

机构地区：[1]平顶山市妇幼保健院外科,河南平顶山467000

出　　处：《临床研究》2024年第8期37-40,共4页Clinical Research

摘　　要：目的比较不同腹腔镜阑尾切除术(LA)对急性阑尾炎的疗效。方法回顾性分析平顶山市妇幼保健院2021年8月至2023年5月收治的62例急性阑尾炎患者的病历资料,将所有患者按手术方法的不同分为三孔组(行三孔LA,n=30)与单孔组(行单孔LA,n=32),比较两组围手术期指标、术后恢复情况、术后疼痛程度、炎症因子水平及并发症发生率。结果单孔组手术切口更大,但手术切口总长度短于三孔组,手术时间长于三孔组,差异具有统计学意义(P<0.05);两组术中出血量相比,差异无统计学意义(P>0.05)。两组术后下床活动、肛门排气、住院时间比较,差异无统计学意义(P>0.05);单孔组伤口愈合时间短于三孔组,差异具有统计学意义(P<0.05)。术后3 h、6 h、12 h、24 h,单孔组疼痛评分均低于三孔组,差异具有统计学意义(P<0.05)。两组手术前后的C反应蛋白、白细胞介素-6、降钙素原水平及并发症发生率相比,差异无统计学意义(P>0.05)。结论单孔LA治疗急性阑尾炎的切口总长度更短,术后愈合速度快、疼痛程度相对较轻,但手术时间也有所延长。临床在实际应用时,可综合考虑患者实际病情选择手术方案,最大限度地发挥单孔与三孔LA各自的优势。Objective To compare the efficacy of different laparoscopic appendectomy(LA)methods for acute appendicitis.Methods The medical records of 62 patients with acute appendicitis treated in Pingdingshan Maternal and Child Health Hospital from August 2021 to May 2023 were retrospectively analyzed.All patients were divided into a three-port group(undergoing three-port LA,n=30)and a single-port group(undergoing single-port LA,n=32)according to different surgical methods.The perioperative indicators,postoperative recovery,postoperative pain level,inflammatory factor level,and incidence of complications of the two groups were compared.Results The surgical incision of the single-port group was larger,but the total length of the surgical incision was shorter than that of the three-port group,and the operation time was longer than that of the three-port group,with statistically significant differences(P<0.05).There was no statistical significance in the comparison of intraoperative blood loss between the two groups(P>0.05).There was no statistical significance in the comparison of getting out of bed,anal exhaust,and hospital stay after surgery between the two groups(P>0.05).The wound healing time of the single-port group was shorter than that of the three-port group,with a statistically significant difference(P<0.05).At 3 h,6 h,12 h,and 24 h after surgery,the pain score of the single-port group was lower than that of the three-port group,with statistically significant differences(P<0.05).There was no statistical significance in the comparison of C-reactive protein,interleukin-6,procalcitonin level,and incidence of complications before and after surgery between the two groups(P>0.05).Conclusion The total length of the incision for treating acute appendicitis with single-port LA is shorter,the wound heals faster after surgery,and the pain is relatively lighter,but the operation time is also prolonged.In actual clinical application,the surgical plan can be selected according to the actual condition of the patient,maximizing the

关 键 词：急性阑尾炎 腹腔镜阑尾切除术 单孔 三孔 切口长度 

分 类 号：R574.61[医药卫生—消化系统]