小切口阑尾切除术的临床价值研究

Researches on Clinic Value of Small Incision Appendectomy

目的探讨运用小切口行阑尾切除术能否降低阑尾切口感染率和其他并发症的发生率。方法实验组运用小切口切除阑尾,切口位于右下腹压痛最明显处,约2~3 cm长,对照组采用传统的手术切口,切口位于右下腹压痛最明显处,长度为5~7 cm,其他手术操作步骤完全一样,观察比较两组的切口长度、手术时间、切口感染率和其他并发症发生率。结果实验组切口平均长度为2.5 cm,手术时间平均为60 min,切口感染2例,占2.2%,其他并发症3例,占3.3%,对照组切口平均长度为5.8 cm,手术时间平均为57 min,切口感染9例,占9.5%,其他并发症4例,占4.2%,两组比较,实验组切口长度和切口感染率显著小于对照组,但手术时间和其他并发症发生率并无显著差异。结论小切口阑尾切除能显著降低阑尾切口感染率,不会增加其他并发症的发生率和不会延长手术时间。

Objective To discuss if small incision appendectomy can reduce incision infection rate and other complication rate. Methods Small incision appendectomy was operated in experiment group, in which incision was located in right lower quadrant where there was the most tenderness, 5-7 cm length, while other operation procedures were the same. Compare the incision length, operative time, incision infection rate, and other complication rate between the two groups. Results In experiment group, the average incision length was 2.5 cm, operative time was 60 min, 2 cases had incision infections, 2.2%, 3 cases had other complications, 3.3%. In comparing group, the average incision was 5.8 cm, the operative time was 57 min, 9 cases had incision infections, 9.5%, 4 cases had other complications, 4.2%. Compare the two groups, the incision length and infection rate were obviously less than comparing group, while the operative time and other complication rate didn＇t have significant deviation. Conclusion Small incision infection appendectomy can significantly reduce incision infection rate, but not increase other complication rate and prolong operative time.