首页|三孔法腹腔镜治疗阑尾周围脓肿的效果及对生活质量的影响

三孔法腹腔镜治疗阑尾周围脓肿的效果及对生活质量的影响

Effect of Three-hole Laparoscopy in the Treatment of Periappendiceal Abscess and its Influence on Quality of Life

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目的 研究三孔法腹腔镜治疗阑尾周围脓肿的效果及对生活质量的影响.方法 选取 2019 年 2 月-2022 年 2 月我院诊治的 70 例阑尾周围脓肿患者为研究对象,采用随机数字表法分为观察组(n=35)和对照组(n=35).对照组采用传统开腹术治疗,观察组采用三孔法腹腔镜治疗,比较两组临床疗效、手术指标、疼痛评分(VAS)、术后并发症发生率以及生活质量水平.结果 观察组治疗总有效率为 94.29%,高于对照组的 82.86%(P<0.05);观察组手术时间、术后首次排气时间、术后下床活动时间均短于对照组,术中出血量少于对照组(P<0.05);观察组术后 2h的VAS评分与对照组比较,差异无统计学意义(P>0.05),但观察组术后 6、12 h的VAS评分均低于对照组(P<0.05);观察组并发症发生率为 8.57%,低于对照组的 20.00%(P<0.05);两组术后生活质量水平评分均高于术前,且观察组高于对照组(P<0.05).结论 三孔法腹腔镜治疗阑尾周围脓肿具有良好的临床效果,可改善临床手术指标,降低患者疼痛程度,预防并发症,且可提高患者术后生活质量水平.
Objective To study the effect of three-hole laparoscopy in the treatment of periappendiceal abscess and its influence on quality of life.Methods A total of 70 patients with periappendiceal abscess diagnosed and treated in our hospital from February 2019 to February 2022 were selected as the research objects.They were divided into observation group(n=35)and control group(n=35)by random number table method.The control group was treated with traditional laparotomy,and the observation group was treated with three-hole laparoscopy.The clinical efficacy,surgical indicators,pain score(VAS),incidence of postoperative complications and quality of life were compared between the two groups.Results The total effective rate of treatment in the observation group was 94.29%,which was higher than 82.86%in the control group(P<0.05).The operation time,postoperative first exhaust time and postoperative ambulation time in the observation group were shorter than those in the control group,and the intraoperative blood loss was less than that in the control group(P<0.05).There was no significant difference in VAS score between the observation group and the control group at 2 h after operation(P>0.05),but the VAS scores of the observation group at 6 and 12 h after operation were lower than those of the control group(P<0.05).The incidence of complications in the observation group was 8.57%,which was lower than 20.00%in the control group(P<0.05).The postoperative quality of life scores of the two groups were higher than those before operation,and the observation group was higher than the control group(P<0.05).Conclusion Three-hole laparoscopy has a good clinical effect in the treatment of periappendiceal abscess,which can improve the clinical operation index,reduce the pain degree of patients,prevent complications,and improve the quality of life of patients after operation.

Three-hole laparoscopyPeriappendiceal abscessQuality of life

王林

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赣州市赣县区人民医院普外科,江西 赣州 341100

三孔法腹腔镜 阑尾周围脓肿 生活质量

2024

医学信息
国家卫生部信息化管理领导小组 中国电子学会中国医药信息学分会 陕西文博生物信息工程研究所

医学信息

影响因子:0.161
ISSN:1006-1959
年,卷(期):2024.37(19)