首页|小切口阑尾炎切除术在治疗阑尾炎中的临床效果

小切口阑尾炎切除术在治疗阑尾炎中的临床效果

扫码查看
目的 评价小切口阑尾炎切除术对阑尾炎的治疗价值.方法 选取2021年8月—2023年8月甘肃省张掖市山丹县中医医院收治的80例阑尾炎患者为研究对象,以信封法分为传统组和小切口组,各40例.传统组采用传统切除术,小切口组采用小切口切除术.比较两组术中指标、术后恢复指标、切口愈合状况及并发症发生情况.结果 小切口组术中切口大小、耗时及失血量指标均明显优于传统组,差异有统计学意义(P均<0.05).小切口组术后3 d的疼痛评分明显低于传统组,首次肛门排气时间、下床活动时间及住院天数均明显短于传统组,差异有统计学意义(P均<0.05).小切口组甲级切口愈合率(95.00%)明显高于传统组(57.50%),乙、丙级愈合率(5.00%、0)明显低于传统组(30.00%、12.50%),差异有统计学意义(Z=2.953,P<0.05).小切口组并发症率(2.50%)明显低于传统组(20.00%),差异有统计学意义(χ2=6.134,P<0.05).结论 小切口切除术具有更高的临床价值,对阑尾炎病症的手术创伤性小,利于促进术后恢复,改善术后疼痛,降低术后并发症发生率,提高切口愈合效果.
Clinical Effect of Appendicitis Resection with Small Incision in the Treat-ment of Appendicitis
Objective To evaluate the value of small incision resection in the treatment of appendicitis.Methods A to-tal of 80 patients with appendicitis admitted to Zhangye Shandan County Hospital of Traditional Chinese Medicine of Gansu Province from August 2021 to August 2023 were selected as the research subjects.They were divided into a tra-ditional group and a small incision group by envelope method,with 40 cases in each group.The traditional group un-derwent traditional resection,while the small incision group underwent small incision resection.The intraoperative in-dex,postoperative recovery index,wound healing status and incidence of complications between two groups were com-pared.Results Incision size,time consuming and blood loss indexes in the small incision group were significantly bet-ter than those in the traditional group,and the differences were statistically significant(all P<0.05).The 3-day pain score of the small incision group was significantly lower than that of the traditional group,and the time of first anal ex-haust,time of getting out of bed activity and hospitalization days were significantly shorter in the traditional group,and the differences were statistically significant(all P<0.05).The healing probability of grade A incision in the small inci-sion group(95.00%)was significantly higher than that in the traditional group(57.50%),while the healing probability of grade B and C incisions(5.00%,0)were significantly lower than those in the traditional group(30.00%,12.50%),and the difference was statistically significant(Z=2.953,P<0.05).The complication rate of the small incision group(2.50%)was significantly lower than that of the traditional group(20.00%),and the difference was statistically signifi-cant(χ2=6.134,P<0.05).Conclusion Small incision resection has higher clinical value,less traumatic surgery for ap-pendicitis,which is conducive to promoting postoperative recovery,improving postoperative pain,reducing the inci-dence of postoperative complications,and improving the wound healing effect.

Resection with small incisionAppendicitisTraditional surgery

张雪伟、张亮、吴积民、尹龙厂

展开 >

甘肃省张掖市山丹县中医医院普外科,甘肃山丹 734100

小切口阑尾炎切除术 阑尾炎 传统手术

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(5)
  • 12