急性阑尾炎行小切口阑尾切除的技巧与疗效

The Skill and Effect of Appendectomy With Small Incision for Acute Appendicitis

目的探究急性阑尾炎行小切口阑尾切除术治疗的技巧及疗效。方法选取急性阑尾炎患者150例随机分为两组,对照组采取传统开腹手术治疗,观察组采取小切口阑尾切除术治疗,考察两组患者的手术临床情况、并发症情况和治疗满意度。结果在手术临床情况方面:两组患者的手术时间比较,差异无统计学意义(P>0.05);观察组患者的术中出血量、切口长度、手术时间、下床时间、肠道功能恢复时间、引流量、住院时间均低于对照组;观察组患者的并发症发生率为4.00%,对照组患者的并发症发生率为16.00%,观察组患者的并发症发生率低于对照组;观察组患者的治疗满意度为98.67%,对照组为90.67%,观察组患者的治疗满意度高于对照组,差异具有统计学意义(P<0.05)。结论急性阑尾炎行小切口阑尾切除术治疗的效果良好,可行性高。

Objective To explore the skill and effect of small incision appendectomy for acute appendicitis. Methods 150 patients with acute appendicitis were randomly divided into two groups. The control group was treated with traditional open surgery, and the observation group was treated with small incision appendectomy. Results There was no significant difference in operative time between the two groups (P > 0.05). The bleeding volume, incision length, the length of operative time, time to get out of bed, recovery time of intestinal function, drainage volume and hospitalization time in the observation group were lower than those in the control group. The incidence of complications was 4.00% in the observation group and 16.00% in the control group. The incidence of complications in the observation group was lower than that in the control group. The treatment satisfaction of the patients in the observation group was 98.67%, and that of the control group was 90.67%. The treatment satisfaction of the patients in the observation group was higher than that of the control group, and the difference was statistically significant (P < 0.05). Conclusion Appendectomy with small incision for acute appendicitis is effective and feasible.