超重对阑尾炎症及腹腔镜手术的影响分析

Analysis of influence of overweight on appendicitis and laparoscopic appendectomy

目的 探讨超重对阑尾炎症程度及腹腔镜手术的影响.方法 回顾性分析200例腹腔镜阑尾切术患者的临床资料.比较超重组与非超重组临床资料,通过单因素及多因素分析与阑尾炎程度的相关因素.结果 超重组与非超重组相比较,手术操作时间[（56.19±30.42） min比（48.40±21.03） min]差异有统计学意义（t=2.040,P=0.043）;超重组住院时间较非超重组住院时间[（5.35±2.04）d比（4.52±1.49）d]延长（t=3.219,P=0.002）.超重与阑尾炎严重程度呈正相关（OR=0.149,P=0.000）.结论 超重患者易形成复杂性阑尾炎,手术操作难度大,术后容易出现并发症,因此应引起外科医师重视.

Objective To analyze the effect of overweight on appendicitis and laparoscopic surgery.Methods Clinical data of 200 patients with laparoscopic appendectomy were analyzed retrospectively.Overweight and non-overweight patients were compared.The risk factors of appendicitis were analyzed.Results The operation time [（56.19 ± 30.42） min vs.（48.40 ± 21.03） min] and length of stay [（5.35 ± 2.04） d vs.（4.52 ± 1.49） d] between the overweight and non-overweight groups had statistically significant differences （t =2.040,P =0.043,t =3.219,P =0.002）.Overweight was correlated with appendix inflammation （OR =0.149,P =0.000）.Conclusion Over weight patients are prone to develope into complicated appendicitis.It should take surgeon＆#39;s attention for more difficult operation and more complication.