33例超声引导ERAT治疗急性非复杂性阑尾炎临床分析  

Clinical Analysis of 33 Cases of Ultrasound-Guided Endoscopic Retrograde Appendicitis Therapy in the Treatment of Acute Uncomplicated Appendicitis

作　　者：李泗云 刘中建 刘界宇 黄继华 吉玉屏 张帆 

机构地区：[1]大理大学第二附属医院消化内科,云南 昆明 [2]云南省第一人民医院基础和临床医学研究所,云南 昆明

出　　处：《临床医学进展》2024年第1期1216-1223,共8页Advances in Clinical Medicine

摘　　要：目的:本研究旨在探讨超声引导内镜下逆行阑尾炎治疗术治疗急性非复杂性阑尾炎的临床疗效。方法:选取2022年09月至2023年05月大理大学第二附属医院接受超声引导内镜下逆行阑尾炎治疗术的33例急性非复杂性阑尾炎患者的临床资料,分析患者临床特点、手术疗效及预后情况。结果:纳入研究的33例患者中,男性18例(54.5%),女性15例(45.5%),年龄为46 (30, 61)岁;术前阑尾直径为1.03 ± 0.34 cm;33例患者均插管成功,插管成功率为100% (33/33),手术时长为45 (30, 62) min、术中出血量为(0.42 ± 1.03) ml;术后腹痛完全缓解时间为2 (1, 3) d,压痛完全缓解时间3 (1, 3) d,反跳痛完全缓解时间1.5 (1, 3) d,麦氏点压痛缓解时间3 (2, 3.75) d。术后3天复查阑尾直径为0.85 ± 0.28 cm。所有患者术后均未出现并发症;共随访33例,随访中阑尾炎复发率为3.0% (1/33)。结论:超声引导内镜下逆行阑尾炎治疗术具有创伤小、恢复快、并发症少等优点,是治疗急性非复杂性阑尾炎的一种安全有效的方法。Objective: The objective of this research was to examine the clinical effectiveness of ultrasound- guided endoscopic retrograde appendicitis therapy in managing cases of acute uncomplicated ap-pendicitis. Methods: A retrospective analysis was conducted on the clinical data of 33 patients of acute uncomplicated appendicitis who underwent ultrasound-guided endoscopic retrograde ap-pendicitis therapy in the Second Affiliated Hospital of Dali University from September 2022 to May 2023. The patients’ clinical characteristics, surgical efficacy, and prognosis were analyzed. Results: Among the 33 patients included in the study, there were 18 males (54.5%) and 15 females (45.5%), with a median age of 46 (30, 61) years. The preoperative appendix diameter was 1.03 ± 0.34 cm. All patients were successfully intubated in appendiceal lumen with an intubation success rate of 100% (33/33). Operative duration was 45 (30, 62) min, and the intraoperative blood loss was (0.42 ± 1.03) ml. The postoperative complete relief time of abdominal pain was 2 (1, 3) days, tenderness com-plete relief time was 3 (1, 3) days, rebound tenderness complete relief time was 1.5 (1, 3) days, and McBurney’s point tenderness relief time was 3 (2, 3.75) days. Three days after the surgery, the ap-pendix diameter was 0.85 ± 0.28 cm. There was no complications occurred. A total of 33 patients were followed up, and the recurrence rate of appendicitis during the follow-up was 3.0% (1/33). Conclusion: Ultrasound-guided endoscopic retrograde appendicitis therapy is a safe and effective method for treating acute uncomplicated appendicitis. It has the advantages of minimal invasive-ness, quick recovery, and fewer complications.

关 键 词：急性阑尾炎 急性非复杂性阑尾炎 内镜下逆行阑尾炎治疗术 超声引导 经自然腔道内镜手术 

分 类 号：R65[医药卫生—外科学]