摘要
目的:探讨腹腔镜阑尾切除术治疗阑尾炎的效果。方法:选取2020年7月—2022年3月徐州铜山区人民医院收治的70例阑尾炎患者作为研究对象,根据随机数字表法分为观察组与对照组。对照组采用开腹切除手术治疗,观察组采用腹腔镜阑尾炎切除术治疗。比较两组并发症发生情况、炎性因子水平、生活质量、手术指标。结果:观察组并发症总发生率低于对照组,差异有统计学意义(P=0.000)。治疗前,两组白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)水平比较,差异无统计学意义(P>0.05);治疗后,观察组IL-6、TNF-α水平均低于对照组,差异有统计学意义(P=0.000)。治疗前,两组健康状况、物质生活、社会功能、心理卫生评分比较,差异无统计学意义(P>0.05);治疗后,观察组健康状况、物质生活、社会功能、心理卫生评分均高于对照组,差异有统计学意义(P=0.000)。观察组手术切口小于对照组,手术时间、首次肛门排气时间、首次下床活动时间均短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05)。结论:对阑尾炎患者采用腹腔镜阑尾切除术治疗,可降低并发症发生率,提高生活质量,改善炎性因子水平,优化手术指标,效果显著。
Objective:To explore the effect of laparoscopic appendectomy in the treatment of appendicitis.Methods:From July 2020 to March 2022,70 patients with appendicitis admitted to Xuzhou Tongshan District People's Hospital were selected as the research subjects,and they were divided into observation group and control group according to the random number table method.The control group was treated with open resection surgery,and the observation group was treated with laparoscopic appendectomy.The occurrence of complications,inflammatory factor levels,quality of life,and surgical indexes were compared between the two groups.Results:The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P=0.000).Before treatment,there was no significant difference in the levels of interleukin-6(IL-6)and tumor necrosis factor-α(TNF-α)between the two groups(P>0.05).After treatment,the levels of IL-6 and TNF-αin the observation group were lower than those in the control group,and the difference was statistically significant(P=0.000).Before treatment,there were no significant differences in health status,material life,social function,and mental health scores between the two groups(P>0.05).After treatment,the health status,material life,social function,and mental health scores in the observation group were higher than those in the control group,and the differences were statistically significant(P=0.000).The surgical incision in the observation group was smaller than that in the control group,and the operation time,the first anal exhaust time,the first ambulation time in the observation group were shorter than those in the control group,the intraoperative blood loss in the observation group was less than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Laparoscopic appendectomy for patients with appendicitis can reduce the incidence of complications,improve quality of life,improve the level of inflammatory factors,and optimize the surgical index,and with remarkable effect.
作者
范楚
Fan Chu(Xuzhou Tongshan District People's Hospital,Xuzhou 221000,Jiangsu Province,China)
出处
《中国社区医师》
2023年第8期43-45,共3页
Chinese Community Doctors
关键词
腹腔镜阑尾切除术
阑尾炎
炎性因子
Laparoscopic appendectomy
Appendicitis
Inflammatory factor