早期手术与传统非手术治疗阑尾周围脓肿的临床效果比较  

Comparison of clinical effects of early surgery and traditional non-surgical treatment for periappendiceal abscess

作　　者：张永旺[1] 侯花屏 李文斌 张金强 刘新奇 ZHANG Yongwang;HOU Huaping;LI Wenbin;ZHANG Jinqiang;LIU Xinqi(General Surgery Department,the First Hospital of Yulin,Yulin 719000,China)

机构地区：[1]榆林市第一医院普通外科,陕西榆林719000

出　　处：《临床医学研究与实践》2025年第7期82-85,共4页Clinical Research and Practice

摘　　要：目的比较早期手术与传统非手术治疗阑尾周围脓肿的临床效果。方法选择2019年6月至2023年6月收治的120例阑尾周围脓肿患者为研究对象,根据入院时间顺序将其分为对照组(2019年6月至2021年6月,60例)和手术组(2021年7月至2023年6月,60例)。对照组采用传统非手术治疗,手术组采用早期手术治疗(腹腔镜下阑尾切除术+双套管引流+术后冲洗)。比较两组的治疗效果。结果手术组的治疗总有效率为96.67%,高于对照组的83.33%(P<0.05)。治疗7 d后,手术组的白细胞介素-6(IL-6)、降钙素原(PCT)水平低于对照组(P<0.05)。手术组的胃肠功能恢复时间、抗生素使用时间及住院时间均短于对照组(P<0.05)。手术组的并发症总发生率为3.33%,低于对照组的13.33%(P<0.05)。手术组的复发率为0,低于对照组的6.67%(P<0.05)。结论相比传统非手术治疗,早期手术能够提高阑尾周围脓肿的治疗效果,加速康复进程,缩短整体治疗时间,有效减轻机体炎症反应,降低患者因脓肿引发的并发症风险。Objective To compare the clinical effects of early surgery and traditional non-surgical treatment for periappendiceal abscess.Methods A total of 120 patients with periappendiceal abscess admitted from June 2019 to June 2023 were selected as the research objects.According to the order of admission time,the patients were divided into control group(June 2019 to June 2021,60 cases)and surgery group(July 2021 to June 2023,60 cases).The control group was treated with traditional non-surgical treatment,and the operation group was treated with early surgical treatment(laparoscopic appendectomy+double tube drainage+postoperative irrigation).The therapeutic effects of the two groups were compared.Results The total effective rate of treatment in the surgery group was 96.67%,which was higher than 83.33% in the control group(P<0.05).After 7 d of treatment,the levels of interleukin-6(IL-6)and procalcitonin(PCT)in the surgery group were lower than those in the control group(P<0.05).The recovery time of gastrointestinal function,antibiotic use time and hospitalization time in the surgery group were shorter than those in the control group(P<0.05).The total incidence of complications in the surgery group was 3.33%,which was lower than 13.33% in the control group(P<0.05).The recurrence rate of the surgery group was 0,which was lower than 6.67% of the control group(P<0.05).Conclusion Compared with traditional non-surgical treatment,early surgery can improve the therapeutic effect of periappendiceal abscess,accelerate the recovery process,shorten the overall treatment time,effectively reduce the body's inflammatory response,and reduce the risk of complications caused by abscess.

关 键 词：阑尾周围脓肿 早期手术 传统非手术 

分 类 号：R656.8[医药卫生—外科学]