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经脐单孔腹腔镜及常规腹腔镜阑尾切除术治疗阑尾炎的临床效果比较 被引量:1

Comparison of clinical effects of transumbilical single port laparoscopic appendectomy and conventional laparoscopic appendectomy in the treatment of appendicitis
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摘要 目的探讨经脐单孔腹腔镜阑尾切除术、常规腹腔镜阑尾切除术应用于阑尾炎的临床效果。方法选取本院2018年12月至2019年9月收治的80例阑尾炎患者,根据治疗方法的不同分为对照组和观察组,每组40例。对照组行常规三孔腹腔镜阑尾切除术治疗,观察组行经脐单孔腹腔镜阑尾切除术治疗。比较两组围术期指标、中转开腹发生率及并发症发生率。结果观察组术中出血量少于对照组,手术切口长度、术后首次下床活动时间均短于对照组,差异有统计学意义(P<0.05);两组手术时间、术后肛门首次排气时间、术后引流时间、术后住院时间比较差异无统计学意义;术后住院期间及出院后6个月,两组并发症发生率比较差异无统计学意义。结论经脐单孔腹腔镜阑尾切除术、常规三孔腹腔镜阑尾炎切除术均具有良好近、远期预后,但前者更利于患者腹部的美观和术后康复,值得临床推广应用。 Objective To investigate the value of transumbilical single port laparoscopic appendectomy and conventional laparoscopic appendec-tomy in the treatment of appendicitis.Methods 80 appendicitis patients admitted to our hospital from December 2018 to September 2019 were se-lected and they were divided into control group and observation group according to different treatment methods,with 40 cases in each group.The control group underwent conventional three-port laparoscopic appendectomy,and the observation group underwent transumbilical single-port laparo-scopic appendectomy.The perioperative indicators,the incidence of conversion to laparotomy and the incidence of complications were compared be-tween the two groups.Results The intraoperative blood loss of the observation group was less than that of the control group,the length of the surgi-cal incision and the first time to get out of bed after the operation were shorter than those of the control group,the difference was statistically signifi-cant(P<0.05).There was no statistically significant difference between the two groups in operation time,the first postoperative anus exhaust time,postoperative drainage time,and postoperative hospital stay;during postoperative hospitalization and 6 months after discharge,and there was no sig-nificant difference in the incidence of complications between the two groups.Conclusion Both transumbilical single-port laparoscopic appendecto-my and conventional three port laparoscopic appendicitis have good short-term and long-term prognosis,but the former is more conducive to the ap-pearance of the patient's abdomen and the rapid recovery of patients after surgery,and it is worthy of clinical application.
作者 陈乃金 CHEN Naijin(The SecondWard of General Surgery,Central Hospital of Zibo Mining Group Co.,Ltd.,Zibo,Shandong,255120,China)
出处 《当代医学》 2021年第24期48-50,共3页 Contemporary Medicine
关键词 阑尾炎 阑尾切除术 腹腔镜 经脐单孔法 Appendicitis Appendectomy Laparoscopy Transumbilical single port method
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