不同身体质量指数对单孔腹腔镜阑尾切除术疗效及并发症的影响  

Effect of Different Body Mass Index on Single-hole Laparoscopic Appendectomy and the Effect of Complications

作　　者：王宇男 商莹 查恩华 Wang Yunan;Shang Ying;Zha Enhua(Department of General Surgery,The 961th Hospital of the Joint Logistics Support Force of the Chinese People’s Liberation Army,Qiqihar,Heilongjiang,161000,China)

机构地区：[1]联勤保障部队第九六一医院普通外科,黑龙江齐齐哈尔161000

出　　处：《黑龙江医学》2025年第4期401-403,共3页Heilongjiang Medical Journal

摘　　要：目的:探讨单孔腹腔镜阑尾切除术在不同身体质量指数(BMI)患者应用中的疗效及对并发症的影响。方法:选取2021年5月-2023年5月样本医院收治的142例行单孔腹腔镜下阑尾切除手术的患者作为研究对象。根据患者术前BMI不同分为超重肥胖组(62例)和正常组(80例),观察两组患者的术中脐部切口长度、手术时间、术中出血量、增加辅助孔情况、术后排气时间、住院时间、止痛药使用时间、切口疼痛评分、美观度评分和术后并发症发生情况。结果:两组患者的BMI及腰围与身高比值(WHt R)比较,差异均有统计学意义(t=18.105、15.005,P<0.05);超重肥胖组患者的脐部切口长度、手术时间、术中出血量、术后排气时间、住院时间及增加辅助孔率均明显多于正常组,差异均有统计学意义(t=8.429、5.498、3.605、4.972、5.204,P<0.05;χ^(2)=4.095,P<0.05);两组患者术后并发症发生率及术后阑尾病理类型比较,差异均无统计学意义(χ^(2)=0、0.068,P>0.05)。结论:BMI较大的患者行单孔腹腔镜下阑尾切除手术治疗,效果确切,术后并发症无增加,但手术难度增加,对超重肥胖患者要做到精准操作,以便于术后快速恢复。Objective:To investigate the effect and complication of single hole laparoscopic appendectomy in patients with different body mass index.Methods:A total of 142 patients who underwent single-hole laparoscopic appendectomy from May 2021 to May 2023 were selected.Patients were divided into overweight and obese group(62 cases)and normal group(80 cases)according to different preoperative body mass index.The length of umbilical incision,operation time,intraoperative blood loss,addition of auxiliary holes,postoperative exhaust time,hospital stay,time of painkiller use,incision pain and aesthetic score,and postoperative complications were observed in 2 groups.Results:There were significant differences in BMI and WHtR between the two groups(t=18.105,15.005;P<0.05).The length of umbilical incision,operation time,intraoperative blood loss,postoperative exhaust gas,hospital stay and increased auxiliary pore ratio in overweight and obese group were significantly higher than those in normal body mass group,with statistically significant difference(t=8.429,5.498,3.605,4.972,5.204;P<0.05;χ^(2)=4.095,P<0.05).There was no significant difference in the incidence of postoperative complications and pathological types of appendix between the two groups(χ^(2)=0,0.068;P>0.05).Conclusion:For patients with overweight body mass,single-hole laparoscopic appendectomy has definite effect and no increase in postoperative complications,but the difficulty of the operation is increased.For overweight and obese patients,precise operation should be performed in the operation to facilitate rapid postoperative recovery.

关 键 词：阑尾炎 阑尾切除术 单孔腹腔镜 身体质量指数 

分 类 号：R574.61[医药卫生—消化系统]