腹腔镜阑尾切除术Hem-o-lok夹闭法处理阑尾残端的临床效果分析

Clinical effect analysis of Hem-o-lok clip for treating appendiceal stump in laparoscopic appendectomy

目的:评价腹腔镜阑尾切除术中Hem-o-lok夹闭法处理阑尾残端的临床效果。方法:选择82例行腹腔镜阑尾切除术的病人为研究对象,随机分为Hem-o-lok组与对照组,各41例。Hem-o-lok组阑尾残端采用Hem-o-lok夹闭,对照组采用丝线单纯结扎或结扎+缝扎。比较2组手术时间、手术相关并发症、住院时间及住院费用。结果:Hem-o-lok组手术时间、术中出血量及术后肛门排气时间均明显低于对照组(P<0.01),2组住院时间及住院费用差异均无统计学意义(P>0.05)。Hem-o-lok组无再次手术病人,2例病人中转开腹手术,对照组无再次手术病人,2组中转开腹手术差异无统计学意义(P>0.05)。Hem-o-lok组并发症合计发生率略低于对照组,但差异无统计学意义(P>0.05)。结论:Hem-o-lok夹闭法处理阑尾残端具有较高的有效性与安全性,且操作简单,可有效缩短手术时间。

Objective:To evaluate the efficacy and safety of Hem-o-lok clip for closing appendix stump in laparoscopic appendectomy.Methods:Eighty-two patients treated with laparoscopic appendectomy were randomly divided into the Hem-o-lok group(n=41)and control group(n=41).The appendiceal stump in the Hem-o-lok group and control group were clamped using Hem-o-lok and simple ligation or ligation combined with sewing using silk thread,respectively.The operation time,operation related complications,length of stay and hospitalization cost were compared between two groups.Results:The operation time,intraoperative blood loss and postoperative anal exhaust time in Hem-o-lok group were significantly lower than those in control group(P<0.01),but the differences of the hospitalization time and total hospitalization cost were not statistically significant(P>0.05).There was not reoperation patients in the Hem-o-lok group,and two patients were transferred to open surgery.There were not reoperation patients in the control group,and the difference of the patients transferring to open surgery between two groups was not statistically significant(P>0.05).The total incidence rate of complications in Hem-o-lok group was slightly lower than that in control group,but the difference of which was not statistically significant(P>0.05).Conclusions:The Hem-o-lok clip is effective and safe in the treatment of appendiceal stump,and it is simple to operate,and can effectively shorten the operation time.