急性阑尾炎患者腹腔镜阑尾切除后不同结扎方式的效果比较

Comparison of the Effect of Different Ligation Methods in Patients with Acute Appendicitis Undergoing Laparoscopic Appendectomy

目的:比较急性阑尾炎(AA)患者行腹腔镜阑尾切除术(LA)后不同结扎方式的疗效.方法:选取本院2020年2月至2023年4月收治的114例AA患者为研究对象,按照LA治疗后结扎方案,将其分为研究组(n=57,予以Hem-o-lok结扎)和对照组(n=57,予以荷包缝合结扎).比较两组患者的手术相关指标、术后恢复相关指标、并发症发生率等.结果:与对照组相比,研究组患者的手术操作用时、住院时间、首次肛门排气用时及下床活动用时更短,术中失血量、并发症发生率更低,治疗总费用更高,差异均具有统计学意义(P<0.05).结论:行LA治疗的AA患者采用Hem-o-lok结扎方式虽然治疗总费用高,但整体效果优于荷包缝合结扎方式,可优化患者围手术期指标并降低并发症风险.

Objective:To compare the application effect of different ligation methods in patients with acute appendicitis(AA)undergoing laparoscopic appendectomy(LA).Methods:A total of 104 AA patients who were treated with LA in our hospital from February 2020 to April 2023 were selected as the study subjects.According to the ligation schemes,they were divided into observation group(n=57,received Hem-o-lok ligation)and control group(n=57,received purse string suture ligation).The operation-related indexes,postoperative recovery indexes,and complication rate were compared between the two groups.Results:Compared with the control group,the observation group had shorter operation time,hospital stay,first anal exhaust time and time to get out of bed,lower intraoperative blood loss,lower complication rate,and higher total treatment cost,and the differences were statistically significant(P<0.05).Conclusion:Although the total cost of treatment is high,the overall effect of Hem-o-lok ligation is better than that of purse suture ligation,which can optimize the perioperative indicators and reduce the risk of complications.