急性阑尾炎手术时机对治疗效果的影响  

Effect of Surgical Timing on the Therapeutic Effect of Acute Appendicitis

作　　者：林龙海 江义舟 潘梓荣 LIN Longhai;JIANG Yizhou;PAN Zirong(Department of General Surgery,Xiamen Medical College Affiliated Haicang Hospital,Xiamen 361000,China)

机构地区：[1]厦门市海沧医院普外科,福建厦门361000

出　　处：《中外医疗》2024年第33期31-34,共4页China & Foreign Medical Treatment

基　　金：厦门市海沧区科技计划(350205Z20202007)。

摘　　要：目的 评估不同手术治疗时间对急性阑尾炎患者的治疗效果。方法 回顾性选取2020年10月—2022年9月厦门市海沧医院收治的180例急性阑尾炎患者的临床资料,所有的患者均行腹腔镜阑尾切除术,根据手术时间的不同分为早期手术治疗组(n=97,发病至手术时间≤24 h)和晚期手术治疗组(n=83,发病至手术时间>24 h)。比较两组患者的住院时间、手术时间、术后感染发生率、术后并发症发生率及血常规。结果 早期手术治疗组术后并发症发生率为8.25%(8/97),低于晚期手术治疗组的24.10%(20/83),差异有统计学意义(χ^(2)=8.553,P<0.05)。早期手术治疗组术后感染发生率低于晚期手术治疗组,差异有统计学意义(P<0.05)。早期手术治疗组患者的手术时间、住院时间均短于晚期手术治疗组,差异均有统计学意义(P均<0.05)。术后第1天和第3天,早期手术治疗组血常规指标水平均优于晚期手术治疗组,差异均有统计学意义(P均<0.05)。结论 对于急性阑尾炎患者而言,早期手术治疗的治疗效果较好,可缩短患者的住院时间和手术时间,减少术后并发症的发生,改善血常规指标。Objective To evaluate the therapeutic effect of different surgical treatment time on patients with acute appendicitis.Methods The clinical data of 180 patients with acute appendicitis admitted to Xiamen Haicang Hospital from October 2020 to September 2022 were retrospectively selected.All patients underwent laparoscopic appendectomy.According to the different operation time,they were divided into early operation group(n=97,the time from onset to operation≤24 h) and late operation group(n=83,the time from onset to operation >24 h).The hospitalization time,operation time,incidence of postoperative infection incidence of postoperative complications and blood routine index were compared between the two groups.Results The incidence of postoperative complications was 8.25%(8/97) in the early operation group and 24.10%(20/83) in the late operation group,and the difference was statistically significant(χ^(2)=8.553,P<0.05).The incidence of postoperative infection in early operation group was lower than that in late operation group,and the difference was statistically significant(P<0.05).The operation time and hospital stay in the early operation group were shorter than those in the late operation group,and the differences were statistically significant(both P<0.05).On the 1st and 3rd days after operation,the level of routine blood indexes in the early operation group was better than that in the late operation group,and the difference was statistically significant(both P<0.05).Conclusions For patients with acute appendicitis,early operation treatment has a better therapeutic effect,which can reduce the length of hospital stay and postoperative complications,and reduce the length of hospital stay.

关 键 词：急性阑尾炎 早期手术 晚期手术 治疗效果 

分 类 号：R65[医药卫生—外科学]