对急性阑尾炎患者施行微创小切口阑尾切除术的临床效果探讨

The Clinical Effect of Minimally Invasive Small Incision Appendectomy for Patients with Acute Appendicitis

目的探讨微创小切口阑尾切除术在急性阑尾炎患者临床干预中的应用价值。方法基于急性阑尾炎临床手术干预措施立项,收录该院2018年6月—2020年5月接收并实施医疗干预的急性阑尾炎患者136例,自愿选择常规开腹阑尾手术的68例患者收录进对照组,自愿选择微创小切口阑尾切除术的68例患者收录进干预组,分析干预后两组并发症发生率、临床治疗指标及视觉模拟评分法(VAS)评分。结果干预组治疗期间不良反应发生率为2.94%,对照组为11.76%,组间差异有统计学意义(χ^(2)=3.886,P=0.049)。干预组手术用时、出血量、切口长度、住院时间均低于对照组,差异有统计学意义(t=22.310、16.964、8.370、43.549,P<0.05)。术前,两组患者VAS评分对比差异无统计学意义(P>0.05);术后6~24 h,干预组VAS评分均低于对照组,差异有统计学意义(t=10.667、11.907、21.870,P<0.05)。结论基于急性阑尾炎病症表现,在临床治疗方面选择微创小切口阑尾切除术有着高效、微创、预后好、安全性高等多种优点,有着极高的推广价值。

Objective To explore the application value of minimally invasive small incision appendectomy in clinical intervention for patients with acute appendicitis.Methods Based on the establishment of clinical surgical intervention measures for acute appendicitis,136 patients with acute appendicitis who received and implemented medical interventions in the hospital from June 2018 to May 2020 were included,and 68 patients who voluntarily chose conventional open appendix surgery were included in the control group.68 patients selected for minimally invasive small incision appendectomy were included in the intervention group,and the incidence of complications,clinical treatment indicators and visual analogue scale(VAS)scores of the two groups after the intervention were analyzed.Results The incidence of adverse reactions during treatment in the intervention group was 2.94%,and that in the control group was 11.76%.The difference between the groups was statistically significant(χ^(2)=3.886,P=0.049).The operation time,blood loss,incision length,and length of hospital stay in the intervention group were lower than those in the control group,and the difference was statistically significant(t=22.310,16.964,8.370,43.549,P<0.05).Before surgery,the difference in VAS scores between the two groups of patients was no statistical significance(P>0.05);6 to 24 h after surgery,the VAS scores of the intervention group were lower than those of the control group,and the difference was statistically significant(t=10.667,11.907,21.870,P<0.05).Conclusion Based on the manifestations of acute appendicitis,the choice of minimally invasive small incision appendectomy in clinical treatment has many advantages,such as high efficiency,minimal invasiveness,good prognosis,and high safety,and it has a very high promotion value.