改良三孔法与传统三孔法腹腔镜阑尾切除术的对比研究

Modified three-port method versus traditional three-port method for laparoscopic appendectomy

目的:探讨改良三孔法腹腔镜阑尾切除术(LA)的可行性及临床效果。方法:回顾性分析2014年2月至2018年1月成都金沙医院收治的369例病理确诊为阑尾炎并采用手术治疗患者的临床资料,其中227例行传统三孔法LA(传统组),142例行改良三孔法LA(改良组),比较两组患者手术时间、肛门排气时间、平均住院时间及并发症发生情况。结果:两组患者平均住院时间、肛门排气时间及并发症发生率比较差异无统计学意义(P>0.05),但改良组的手术时间显著短于传统组(P<0.05)。结论:改良三孔法LA与传统三孔法LA一样安全有效,但手术时间更短,在美容效果和操作方式上有优势。

Objective: To explore the feasibility and clinical effect of modified three-port laparoscopic appendectomy(LA).Methods: A retrospective analysis was made in 369 patients with appendicitis diagnosed by pathology and treated by operation in Chengdu Jinsha Hospital from February 2014 to January 2018.Of them,227 patients were treated by traditional three-port LA(traditional group)and 142 patients were treated by modified three-port LA(modified group).The hospitalization time,operation time,anal exhaust time and complications were compared between the two groups.Results: The operation time of the modified group was significantly shorter than that of the traditional group(P<0.05).There were no significant differences in the average hospitalization time,anal exhaust time and incidence of complications between the two groups(P>0.05).Conclusion: The modified three-port LA is as safe and effective as the traditional three-port LA,but the former has shorter operation time and advantages in terms of cosmetic effect and operation mode.