经脐部三孔和标准三孔腹腔镜阑尾切除的比较研究

A comparative study of transumbilical and standard three holes laparoscopic appendectomy

目的:比较经脐部三孔和标准三孔腹腔镜下行阑尾切除手术的安全性及可行性。方法:收集我院2012-06-2013-06收治的阑尾炎患者200例,其中经脐部三孔行腹腔镜阑尾切除手术96例(观察组),采用标准3孔法行腹腔镜阑尾切除手术104例(对照组)。比较2组患者年龄、手术时间、术中出血量、术后住院时间、术后并发症和患者满意度等临床资料,并分析结果。结果:所有患者术后均康复出院,观察组、对照组患者平均年龄分别为(25±6)岁和(39±10)岁,平均手术操作时间分别为(45±19)min和(30±10)min,差异有统计学意义(P<0.05);术中出血量分别为(10±5)ml和(10±4)ml,术后住院时间分别为(4±0.6)d和(4±0.5)d,2组患者术后均无严重并发症,差异均无统计学意义(P>0.05);对手术效果的满意度评分分别为(97.5±1.5)和(91.5±2.5),差异有统计学意义(P<0.05)。结论:经脐部三孔行腹腔镜阑尾切除术,临床操作可行,虽一定程度上增加手术难度及风险,但术后患者满意度更高,更能满足患者微创手术心理需求,可作为一种新的手术备选方案。

Objective：By comparing the safety and feasibility between the transumbilical and standard three holes laparoscopic appendectomy operation Method：96cases were collected in our hospital from 2012 June to 2013 June by transumbilical three holes laparoscopic appendectomy operation as the observation group,104 cases undergoing the standard three holes laparoscopic appendectomy operation as the control group.Compare two groups＇ age,operation time,intraoperative blood loss,postoperative hospital stay,postoperative complications,and patient satisfaction,such as clinical data,and the results of the analysis.Result：All patients with postoperative rehabilitation hospital discharge,the observation group and control group patients with average age（25±6）and（39±10）years old respectively,the average operation time,（45±19）min and（30±10）min respectively,the difference was statistically significant（P〈0.05）;Intraoperative blood loss,（10±5）ml and（10±4）ml respectively,postoperative hospital stay,（4±0.6）and（4±0.5）days,two groups of patients had no serious postoperative complications,there were no statistically significant difference（P〈0.05）;The surgical effect of satisfaction score,respectively（97.5±1.5）and（91.5±2.5）,statistically significant difference（P〉0.05）.Conclusion：The transumbilical three holes laparoscopic appendectomy is feasible.The operation difficulty and risk of the transumbilical three holes laparoscopic appendectomy increased,but the postoperative patient satisfaction is higher.The transumbilical three holes laparoscopic appendectomy can satisfy the psychological need of minimally invasive surgeryof patients,and can be used as a new alternative to surgery.