急性阑尾炎微创手术治疗病例临床研究80例

Clinical study of 80 cases of minimally invasive surgery for acute appendicitis

目的:观察急性阑尾炎微创手术治疗的效果。方法:2018年1月-2019年1月收治急性阑尾炎患者80例,随机分为两组,各40例。对照组利用三孔腹腔镜手术,试验组利用单孔腹腔镜手术,比较两组临床指标水平及并发症发生情况。结果:试验组手术时间长于对照组,差异有统计学意义(P<0.05);试验组术中出血量、肛门首次排气时间及住院时间均低于对照组,差异有统计学意义(P<0.05);试验组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:在急性阑尾治疗中,利用单孔腹腔镜手术的临床效果优于三孔腹腔镜手术,不仅可缩短住院时间和肛门首次排气时间,还可以减少术后并发症发生率和术中出血量。

Objective:To observe the effect of minimally invasive surgery for acute appendicitis.Methods:From January 2018 to January 2019,80 patients with acute appendicitis were selected,they were randomly divided into the two groups with 40 cases in each group.The control group used 3-port laparoscopic surgery.The experimental group used single-port laparoscopic surgery.The clinical indicators and complications of the two groups were compared.Results:The operation time of the experimental group was longer than that of the control group,the difference was statistically significant(P<0.05).The intraoperative blood loss,the time of first anus exhaust and the length of hospital stay in the experimental group were lower than those of the control group,the difference was statistically significant(P<0.05).The incidence of complications in the experimental group was lower than the control group,the difference was statistically significant(P<0.05).Conclusion:In the treatment of acute appendix,the clinical effect of single-port laparoscopic surgery is better than 3-port laparoscopic surgery.It can not only shorten the length of hospital stay and the time of the first anal exhaust,butalso reduce the incidence of postoperative complications and intraoperative blood loss.