结肠镜下治疗急性阑尾炎疗效观察

Effect of colonoscopy in the treatment of acute appendicitis

目的探讨结肠镜下治疗急性阑尾炎的临床效果。方法选取2015年12月至2017年8月东莞市第五人民医院消化内科收治的20例拟进行结肠镜逆行急性阑尾炎治疗术患者为观察组,同期行腹腔镜下急性阑尾炎切除术的20例患者为对照组,比较两组患者的临床治疗效果、术后并发症和随访情况。结果观察组和对照组患者的手术时间[(50.24±17.66)min vs(69.08±21.61)min]、体温恢复时间[(1.30±0.38)d vs(2.08±0.54)d]、白细胞恢复时间[(1.94±0.87)d vs(2.65±0.48)d]和术后卧床时间[(3.25±1.58)d vs(4.77±1.82)d]比较,观察组均明显低于对照组,差异均有统计学意义(P<0.05);观察组患者术后并发症为5.0%,低于对照组的15.0%,但差异无统计学意义(P>0.05)。结论结肠镜下治疗急性阑尾炎安全、有效,患者创伤小,恢复快。

Objective To investigate the effect of colonoscopy in the treatment of acute appendicitis.Methods A total of 20 cases of patients scheduled to undergoing colonoscopic retrograde acute appendicitis treatment in Department of Gastroenterology of the Fifth People＇s Hospital of Dongguan from Dec. 2015 to Aug. 2017,were selected as the observation group. At the same time, 20 patients underwent laparoscopic excision of acute appendicitis were enrolled into the control group. The clinical curative effect, complication and follow-up of the two groups were compared. Results The operation time, temperature recovery time, white blood cell recovery time, and postoperative recovery time of the observation group were（50.24±17.66） min,（1.30±0.38） d,（1.94±0.87） d,（3.25±1.58） d,respectively, which were significantly lower than corresponding（69.08 ± 21.61） min,（2.08 ± 0.54） d,（2.65 ± 0.48） d,（4.77±1.82） d of the control group（all P〈0.05）. There were no statistically significant difference between the two groups in the postoperative complications（5.0% vs 15.0%, P〉0.05）. Conclusion Colonoscopy is safe and effective for the treatment of acute appendicitis, and the patients have little trauma and quick recovery.