小切口阑尾切除术治疗急性阑尾炎临床疗效分析

Clinical Observation of Small Incision Appendectomy for Acute Appendicitis

目的观察小切口阑尾切除术治疗急性阑尾炎疗效。方法选择该院2015年1月-2018年12月急性阑尾炎患者一共60例,随机分组为传统手术组和小切口手术组,各组为30例,传统手术组采取传统阑尾切除术治疗,小切口手术组采用小切口阑尾切除术治疗。比较两组患者手术指标、术后并发症发生率、生活质量状况(SF-36)。结果①与传统手术组对比,小切口手术组肠蠕动恢复时间(18.00±10.00)h、平均手术时间(63.00±15.00)min、平均住院时间(6.00±3.51)d明显更短,平均术中出血量(20.30±8.20)mL明显更少(t=7.00;4.38;4.17;5.22,P<0.05)。②小切口手术组并发症发生率(肺部感染1例,切口感染1例,粘连复发0例)明显更低,与传统手术组(肺部感染6例,切口感染8例,粘连复发6例)对比(χ^2=4.33;7.03;7.06,P<0.05)。③观察组总体健康情况治疗前:(62.23±10.63)分,治疗后:(85.32±18.38)分,对照组总体健康情况治疗前:(62.62±9.51)分,治疗后:(69.19±11.19)分。治疗后两组患者的生存质量明显改善(P<0.05);观察组治疗后生存质量评分明显优于对照组(P<0.05)。结论对急性阑尾炎患者采取小切口阑尾切除术,可以缩短手术时间,减少术中出血量,从而减少了术后并发症风险。

Objective To observe the effect of small incision appendectomy on acute appendicitis. Methods A total of 60 patients with acute appendicitis in our hospital from January 2015 to December 2018 were randomly divided into traditional operation group and small incision operation group, with 30 cases in each group. The traditional operation group was treated with traditional appendectomy, while the small incision operation group was treated with small incision appendectomy. Operative indicators, incidence of complications and quality of life (SF-36) were compared between the two groups. Results 1. Compared with the traditional operation group, the recovery time of intestinal peristalsis (18.00±10.00)h, the average operation time (63.00±15.00)min, the average hospital stay (6.00±3.51)d in the small incision operation group were significantly shorter, and the average intraoperative bleeding volume (20.30±8.20)mL was significantly less(t=7.00;4.38;4.17;5.22,P<0.05). 2. The incidence of complications (1 case of pulmonary infection, 1 case of incision infection and 0 case of adhesion recurrence) in small incision operation group was significantly lower than that in traditional operation group (6 cases of pulmonary infection, 8 cases of incision infection and 6 cases of adhesion recurrence)(χ^2=4.33;7.03;7.06,P<0.05). 3. The overall health of the observation group was (62.23±10.63)points before treatment, and (85.32±18.38)points after treatment. And the overall health was (62.62±9.51)points before treatment and (69.19±11.19)points after treatment in the control group. After treatment, the quality of life of the two groups was significantly improved(P<0.05). The quality of life score of the observation group was significantly better than that of the control group(P<0.05). Conclusion Small incision appendectomy for acute appendicitis can shorten the operation time, reduce the amount of intraoperative bleeding, and thus reduce the risk of postoperative complications.