化脓性阑尾炎行LA是否放置引流管的对比

Comparison of Whether to Place Drainage Tube or not when Using LA to Treat Purulent Appendicitis

目的探讨化脓性阑尾炎行腹腔镜手术不放置引流管的临床治疗效果。方法回顾性分析2015年1月—2016年3月昆山千灯人民医院收治的100例化脓性阑尾炎行腹腔镜手术患者的临床资料,术中不放置引流管患者50例,放置引流管患者50例,比较两组患者术后并发症(疼痛、盆腔肿胀、发热、伤口感染、小肠粘连)、进食时间、住院周期等指标。结果不放置引流管的患者的进食时间早(26.7±5.5)h,伤口疼痛轻(32.5±8.8)h、住院周期短(3.5±1.6)d,与放置引流管患者相比差异有统计学意义(P<0.05);而盆腔脓肿、发热时间、伤口感染、小肠粘连等指标差异无统计学意义(P>0.05)。结论化脓性阑尾炎行腹腔镜手术中不放置引流管,患者进食早,能显著减轻患者疼痛、缩短住院时间,费用少,值得临床推广。

Objective To study the clinical effect of laparoscopic surgery in treatment of purulent appendicitis without placing the drainage tube. Methods 100 cases of purulent appendicitis patients with LA admitted and treated in our hospital from January 2015 to March 2016 were selected and divided into two groups according to whether the drainage tube was placed or not with 50 cases in each, and the postoperative complications（pains, pelvic？swelling, fever, wound infection and adhesion of small intestine, eating time and hospitalization cycle were compared between the two groups.Results The patients without placing the drainage tube has early eating time（26.7±5.5）h, mild wound pains（32.5±8.8）h and short hospitalization cycle（3.5±1.6）d, and the differences between the patients with placing the drainage tube and patients with placing the drainage tube were obvious（P〈0.05）, and there were no obvious statistical differences in the pelvic swelling, fever time, wound infection, adhesion of small intestine between the two groups were not statistically significant（P〉0.05）. Conclusion The eating time of purulent appendicitis patients in the laparoscopic surgery is early,which can obviously relieve the pains of patients, shorten the length of stay with low cost, and it is worth clinical promotion.