首页|不同阑尾残端闭合方式在腹腔镜下阑尾切除术中的临床疗效分析

不同阑尾残端闭合方式在腹腔镜下阑尾切除术中的临床疗效分析

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目的 分析腹腔镜阑尾切除术中不同阑尾残端闭合方式的临床效果。方法 回顾性分析西宁市第二人民医院 2023 年 1 月至 2024 年 1 月接受腹腔镜阑尾切除术的 280 例患者的临床资料,通过对阑尾残端不同处理方式进行分组,观察组采用Hem-o-lok夹闭,对照组采用荷包包埋,每组各 140 例。观察两组患者的康复程度、住院时长及术后并发症情况。结果 观察组患者的手术时间、住院时间、肛门排气时间均短于对照组,但住院费用多于对照组,差异均有显著性(P<0。05),两组患者术后并发症总发生率无显著差异(P>0。05)。结论 使用Hem-o-lok夹闭技术可以更好地治疗阑尾残端,提高患者的康复速度。由于其低并发症发生率,比起采取荷包包埋技术更有优势,但是成本较高。
Clinical efficacy analysis of different closure methods of residual appendix in laparoscopic appendectomy
Objective To analyze analyze the clinical effects of different closure methods for appendiceal stump during laparoscopic appendectomy.Method A retrospective analysis was conducted on the clinical data of 280 patients who underwent laparoscopic appendectomy at the Second People's Hospital of Xining City from January 2023 to January 2024.The appendiceal stump was divided into two groups based on different treatment methods:the observation group was treated with Hem-o-lok clamp,and the control group was treated with purse string embedding,with 140 patients in each group.Observe the recovery level,length of hospital stay,and postoperative complications of two groups of patients.Result The surgical time,hospitalization time,and anal exhaust time of the observation group patients were shorter than those of the control group,but the hospitalization costs were higher than those of the control group,and the differences were significant(P<0.05).There was no significant difference in the total incidence of postoperative complications between the two groups of patients(P>0.05).Conclusion The use of Hem-o-lok clamping technology can better treat residual appendicitis and improve the recovery speed of patients.Due to its low complication rate,it has advantages over using purse string embedding technology,but the cost may be more expensive.

Acute appendicitisResidual endClosing methodComplicationSurgical time

张生元

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西宁市第二人民医院 普外科,青海 西宁 810003

急性阑尾炎 残端 闭合方式 并发症 手术时间

2024

临床普外科电子杂志

临床普外科电子杂志

影响因子:0.19
ISSN:
年,卷(期):2024.12(3)
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