摘要
目的探讨急性阑尾炎手术后粘连性肠梗阻的有效预防方法。方法急性阑尾炎患者120例随机分成3组,第1组行腹腔镜阑尾切除术(LA),第2组行开腹阑尾切除术(OA)后以术泰舒腹腔冲洗,第3组行LA后以多糖生物医用胶液(商品名:术泰舒)腹腔冲洗,随访6个月,比较3组粘连性肠梗阻的发生率。结果第1、2、3组术后粘连性肠梗阻的发生2率分别为15.0%(6/40)、15.8%(6/38)、0.0%(0/40),第3组的粘连性肠梗阻发生率明显低于第1、2组(χ=4.505、4.799,2P<0.05),第2、3组间则差异无统计学意义(χ=0.009,P>0.05)。结论急性阑尾炎实行LA并应用术泰舒作腹腔冲洗,能更好地预防粘连性肠梗阻的发生。
Objective To investigate the effective method to prevent adhesive intestinal obstruction after acute appendectomy. Methods 120 patients with acute appendicitis were randomly divided into three groups. Group A underwent laparoscopic appendectomy(LA), Group B underwent open appendectomy and then received abdominal cavity rinse with SHUTAISHU(polysaccharide biomedical gel), and Group C underwent LA and then received abdominal cavity rinse with SHUTAISHU. After 6-month follow-up, the incidence of adhesive intestinal obstruction was compared among the three groups. Results The incidence of adhesive intestinal obstruction in Group A, B and C was 15.0%(6/40), 15.8%(6/38) and 0.0%(0/40), respectively. The incidence of adhesive intestinal obstruction in Group C was significantly higher than that of Group A and B 2 2(χ =4.505, 4.799, P〈0.05), and there was no statistical difference between Group B and C(χ =0.009, P〈0.05). Conclusions LA and abdominal cavity rinse with SHUTAISHU is an effective method to prevent postoperative intestinal adhesion in patients with acute appendicitis.
出处
《广东医学院学报》
2015年第4期442-444,共3页
Journal of Guangdong Medical College
基金
珠海市科技工贸和信息化局科研基金项目(No.02650811140619047)
关键词
腹腔镜
阑尾炎
多糖生物医用胶
粘连性肠梗阻
laparoscopy
appendicitis
polysaccharide biomedical gel
adhesive intestinal obstruction