腹腔镜下阑尾切除术治疗阑尾炎的效果及对切口感染的影响

Effect of laparoscopic appendectomy on appendicitis and infection of incision

目的探讨腹腔镜下阑尾切除术治疗阑尾炎的效果及对术后切口感染的影响。方法选取2015年8月至2019年6月在阳谷县人民医院治疗的98例阑尾炎患者为研究对象,分为对照组与观察组,每组49例。对照组采取传统手术治疗,观察组采取腹腔镜下阑尾切除术治疗。比较两组患者的术后相关临床指标,观察两组患者切口感染等并发症发生情况。结果观察组患者的手术操作、肛门排气、下床活动、术后进食、住院等时间指标均明显短于对照组(P <0. 05);观察组患者的术后即时、术后30 min的疼痛视觉模拟量表(VAS)评分均明显低于对照组(P <0. 05);观察组患者切口感染、腹腔脓肿、粘连性肠梗阻发生率均明显低于对照组(P <0. 05)。结论腹腔镜下阑尾切除术治疗阑尾炎,患者术后恢复速度快,疼痛程度轻,切口感染等并发症发生率低,具有较高的应用价值。

Objective To investigate the effect of laparoscopic appendectomy on appendicitis and its influence on postoperative incision infection. Methods Ninety-eight cases of appendicitis treated in Yanggu People’s Hospital from August 2015 to June 2019 were selected as the study objects. They were divided into control group and observation group,with 49 cases in each group. The control group was treated with traditional operation,and the observation group was treated by laparoscopic appendectomy.The postoperative related clinical indicators,incision infection and other complications were compared.Results The time indexes of operation,anal exhaust,getting out of bed activity,eating after operation and hospitalization in the observation group were significantly shorter than those in the control group( P <0. 05). The VAS score of the observation group was significantly lower than that of the control group( P <0. 05). The incidences of incision infection,abdominal abscess and adhesive ileus in the observation group were significantly lower than those in the control group( P < 0. 05).Conclusions Laparoscopic appendectomy in treatment of appendicitis,patients have rapid postoperative recovery,mild pain,low incidences of incision infection and other complications,which has a high application value.