小切口及术中硫酸奈替米星局部治疗急性化脓性阑尾炎合并腹膜炎的临床观察

Clinical Observation of Small Incision and Intraoperative Sulfate Netilmicin Topical in Treatment of Acute Suppurative Appendicitis Merger Peritonitis

目的分析研究急性化脓性阑尾炎合并腹膜炎采取小切口及术中硫酸奈替米星局部治疗的临床效果。方法选取2009年11月至2012年1月在我院接收的106例患有急性化脓性阑尾炎合并腹膜炎的患者,随机分为研究组、对照组,每组53例。对照组对患者采取临床常规手术方式,研究组对患者采取小切口联合硫酸奈替米星局部治疗,比较两组临床效果。结果研究组临床手术情况、切口恢复情况优于对照组,差异具有统计学意义(P<0.05)。结论急性化脓性阑尾炎合并腹膜炎采取小切口手术方式联合硫酸奈替米星共同治疗,可缩短手术时间和住院时间,减少相关并发症,具有临床推广价值。

Objective To analyze the clinical effects of small incision and intraoperative sulfate netilmicin topical in treatment of acute suppurative appendicitis merger peritonitis. Methods 106 cases of patients with acute suppurative appendicitis merger peritonitis from November 2009 to January 2012 in our hospital were selected and randomly divided into research group and control group with 53 cases in each group, the control group was treated with clinical routine surgical procedure, the research group was treated with small incision and intraoperative sulfate netilmicin topical treatment, the clinical effects was compared in two groups. Results The clinical surgery case and incision recovery of the research group was better than that of the control group, the differences were statistically significant （P〈0.05）. Conclusion Small incision and intraoperative sulfate netilmicin topical in treatment of acute suppurative appendicitis merger peritonitis can shorten the operation time and hospitalization time, reduce complications, and has a value of clinical promotion.