微创外科技术在急性阑尾的治疗中的应用分析

Application Analysis of Minimally Invasive Surgical Technique in the Treatment of Acute Appendix

目的急性阑尾炎在治疗中,通过微创外科技术进行治疗,对患者得到的应用效果进行分析研究。方法从该院2016年7月-2019年7月间,随机抽取30例腹腔镜阑尾切除患者及30例传统开腹阑尾切除术患者,对其进行回顾性分析,传统开腹手术患者为对照组,腹腔镜阑尾切除手术为观察组,对两组患者的手术指标以及并发症的发生情况进行比较分析,评价微创外科手术的治疗效果。结果观察组患者的术中出血量、手术切口长度、下床活动时间、术后住院时间分别为(35.26±0.36)mL、(2.49±0.16)cm、(5.36±0.17)h、(4.92±0.21)d,对照组患者的术中出血量、手术切口长度、下床活动时间、术后住院时间分别为:(81.23±0.32)mL、(3.81±0.14)cm、(12.42±0.36)h、(8.26±0.20)d,差异有统计学意义(t=5.625、5.483、5.822、5.357,P<0.05);观察组患者的并发症发生概率为6.67%(2/30),对照组患者的并发症的发生概率为20.0%(6/30),差异有统计学意义(χ2=16.825,P<0.05)。结论阑尾患者通过微创外科手术进行治疗,患者的手术指标显著改善,并发症较传统手术方式明显较少,值得在临床中推广以及应用。

Objective In the treatment of acute appendicitis,the minimally invasive surgical technique is used to analyze and study the application effect of patients.Methods From July 2016 to July 2019 in the hospital,30 patients with laparoscopic appendectomy and30 patients with traditional open appendectomy were randomly selected and retrospectively analyzed.The patients with traditional open surgery were used in the control group,laparoscopic appendectomy was used in the observation group.The surgical indicators and complications of the two groups were compared and analyzed to evaluate the therapeutic effect of minimally invasive surgery.Re-sults The intraoperative blood loss,surgical incision length,time to get out of bed,and postoperative hospital stay of the observation group were(35.26±0.36)mL,(2.49±0.16)cm,(5.36±0.17)h,(4.92±0.21)d.The intraoperative blood loss,surgical incision length,time to get out of bed,and postoperative hospital stay of the control group were(81.23±0.32)mL,(3.81±0.14)cm,(12.42±0.36)h,(8.26±0.20)d,the difference was statistically significant(t=5.625,5.483,5.822,5.357,P<0.05);the incidence of complications in the observation group was 6.67%(2/30),and the incidence of complications in the control group was 20.0%(6/30),the difference was statistically significant(χ^2=16.825,P<0.05).Conclusion The appendix patients are treated by minimally invasive surgery,and the surgical indicators of the patients are significantly improved,and the complications are significantly less than the traditional surgical methods.It is worthy of clinical promotion and application.