不同部位切口在阑尾炎微创手术患者中的疗效

Clinical effects of different incision positions on minimally invasive surgery in patients with appendicitis

目的比较采取不同部位切口进行阑尾炎微创手术的疗效。方法选取2013年7月至2014年7月重庆市双桥经济技术开发区人民医院收治的阑尾炎患者100例,按照完全抽样调查法1∶1分为观察组和对照组,每组各50例。观察组行经脐切口微创手术,对照组行经脐周切口微创手术,分析比较两组患者临床疗效。结果两组患者治疗后手术时间、引流管放置率和术中出血量等差异无统计学意义(P>0.05);观察组患者切口外观与愈合满意度明显高于对照组,差异有统计学意义(P<0.05)。结论阑尾炎患者行经脐切口与经脐周切口微创手术的安全性和实用性效果相当,但经脐切口术的外观与愈合满意度相对较高。

Objective To compare the clinical effects of different incision positions on appendicitis minimally invasive surgery.Methods 100 cases of patients with appendicitis were selected in People′s Hospital of Shuangqiao Economic and Technological Development Zone from July 2013 to July 2014,and divided into observation group（50cases）and control group（50cases）according to complete sample survey in accordance with the proportion of 1∶1.Observation group and control group were received minimally invasive surgeries respectively via intraumbilical incision and periumbilical incision.The clinical effects of the two groups were analyzed and compared.Results There was no difference of postoperative treatment time,drainage tube placement rate,amount of bleeding between the two groups（P〉0.05）.The cosmetic appearance and healing satisfaction of observation group were significantly higher than control group（P〈0.05）.Conclusion The safety and effect of intraumbilical incision in appendicitis minimally invasive surgery are the same as periumbilical incision,however,the cosmetic appearance and healing satisfaction of intraumbilical incision are better than periumbilical incision.