微创小切口阑尾切除术治疗急性阑尾炎47例临床效果分析

Clinical Effect Analysis of 47 Cases of Acute Appendicitis Treated With Minimally Invasive Small Incision Appendectomy

目的分析微创小切口阑尾切除术治疗急性阑尾炎的临床效果。方法将我院收治的93例急性阑尾炎患者随机分为两组,实验组47例给予微创小切口阑尾切除术治疗,对照组46例给予传统阑尾切除术治疗。结果实验组手术时间[(25.17±5.28)min]、术中出血量[(27.15±6.29)ml]、肛门排气时间[(21.13±2.18)h]、住院时间[(4.88±1.10)d]少于对照组[手术时间(44.32±6.17)min、术中出血量(107.57±11.35)ml、肛门排气时间(39.68±8.98)h、住院时间(12.15±2.24)d],其术后并发症发生率(8.51%)低于对照组(32.61%),两组差异有统计学意义(P<0.05)。结论微创小切口阑尾切除术治疗急性阑尾炎,可取得理想的效果,术中及术后情况较佳,术后并发症少。

Objective To analyze the clinical effect of minimally invasive small incision appendectomy in the treatment of acute appendicitis. Methods 93 cases of acute appendicitis in our hospital were randomly divided into two groups, the experimental group of 47 cases were treated with minimally invasive incision appendectomy, 46 cases in the control group were treated with conventional appendectomy. Results The operation time of the experimental group [（25.17±5.28） min], the amount of bleeding [（27.15±6.29） ml], anal exhaust time [（21.13±2.18） h], hospitalization time [（4.88±1.10） d] was less than that of the control group [（44.32±6.17） min, and the amount of bleeding（107.57±11.35） ml], the time of anus exhaust（39.68±8.98） h, hospitalization time（12.15±2.24） d], the incidence of postoperative complications（8.51%） was lower than that of the control group（32.61%）, the difference was statistically significant（P〈0.05）. Conclusion Minimally invasive small incision appendectomy for acute appendicitis, can achieve the desired results, and the postoperative situation is better, less postoperative complications.