Ⅰ期腹腔镜手术与保守方法治疗阑尾周围脓肿的效果分析  

Effect Analysis of StageⅠLaparoscopic Surgery and Conservative Method in the Treatment of Periappendicular Abscess

作　　者：胡新荣 伍许月 吴琼广 陈新 何凡 柏锋平 陈冠宇 HU Xinrong;WU Xuyue;WU Qiongguang;CHEN Xin;HE Fan;BAI Fengping;CHEN Guanyu(Department of General Surgery,Dongguan Dongcheng Hospital,Dongguan Guangdong 523000,China)

机构地区：[1]东莞市东城医院普外科,广东东莞523000

出　　处：《中国卫生标准管理》2024年第14期87-91,共5页China Health Standard Management

基　　金：东莞市社会发展科技项目(20211800903092)。

摘　　要：目的探讨Ⅰ期腹腔镜手术与保守方法治疗阑尾周围脓肿的效果分析。方法选取2021年2月—2023年1月东莞市东城医院收治的60例阑尾周围脓肿患者。以随机方式分组,各30例。对照组实施保守方法治疗,研究组实施Ⅰ期腹腔镜手术治疗。比较2组各项临床指标、炎症反应水平、并发症发生情况、生活质量评分。结果研究组胃肠功能恢复时间为(16.2±4.9)h、整体住院持续时间为(6.9±0.8)d、抗生素持续应用时间为(3.0±0.9)d、下床活动用时为(3.5±0.2)d、腹部疼痛持续时间为(5.5±1.0)d,均短于对照组的(27.4±3.8)h、(10.7±0.9)d、(8.3±1.3)d、(6.1±0.3)d、(7.8±1.1)d(P<0.05);2组治疗后白细胞计数(white blood cell count,WBC)、白细胞介素-6(inter leukin-6,IL-6)、C-反应蛋白(C-reactive protein,CRP)水平低于治疗前(P<0.05),且研究组治疗后的WBC、IL-6、CRP水平均低于对照组(P<0.05);研究组并发症总发生率为3.3%,低于对照组的33.3%(P<0.05);研究组社会功能评分为(84.5±4.2)分、精神状态评分为(85.7±4.1)分、生理机能评分为(84.6±4.3)分、躯体功能评分为(83.9±4.4)分,均高于对照组的(68.7±4.4)分、(69.1±4.2)分、(68.2±4.8)分、(67.1±4.9)分(P<0.05)。结论在阑尾周围脓肿患者治疗中,相较于常规保守方法治疗,患者应用Ⅰ期腹腔镜手术治疗可加速患者的疾病康复,促进患者早日恢复胃肠功能,缩短患者住院时间,减轻患者炎症反应,改善患者预后,具有更为良好的临床疗效。Objective To investigate the effect of stageⅠlaparoscopic surgery and conservative methods in the treatment of periappendicular abscess.Methods A total of 60 patients with periappendiceal abscess admitted to Dongguan Dongcheng Hospital from February 2021 to January 2023 were selected.They were randomly divided into two groups,30 cases in each group.The control group was treated with conservative method,and the study group was treated with stageⅠlaparoscopic surgery.The clinical indexes,inflammatory response levels,complications and quality of life scores of the two groups were compared.Results In the study group,the recovery time of gastrointestinal function was(16.2±4.9)h,the overall duration of hospitalization was(6.9±0.8)d,the duration of antibiotic application was(3.0±0.9)d,the time for getting out of bed was(3.5±0.2)d,and the duration of abdominal pain was(5.5±1.0)d,which were shorter than(27.4±3.8)h,(10.7±0.9)d,(8.3±1.3)d,(6.1±0.3)d,(7.8±1.1)d in control group(P<0.05).The levels of white blood cell count(WBC),inter leukin-6(IL-6)and C-reactive protein(CRP)in both groups after treatment were decreased compared with those before treatment(P<0.05).The levels of WBC,IL-6 and CRP in the study group after treatment were lower than those in the control group(P<0.05).The total complication rate of the study group was 3.3%,which was lower than 33.3%of the control group(P<0.05).The social function score of the study group was(84.5±4.2)points,mental status score was(85.7±4.1)points,physiological function score was(84.6±4.3)points,and physical function score was(83.9±4.4)points,which were higher than(68.7±4.4)points,(69.1±4.2)points,(68.2±4.8)points,(67.1±4.9)points in control group(P<0.05).Conclusion In the treatment of patients with periappendicular abscess,compared with conventional conservative treatment,the application of stageⅠlaparoscopic surgery can accelerate the disease recovery of patients,promote the early recovery of gastrointestinal function of patients,shorten the length of hospit

关 键 词：阑尾周围脓肿 保守方法治疗 Ⅰ期腹腔镜手术 炎症反应 并发症 胃肠功能 

分 类 号：R574[医药卫生—消化系统]