首页|单孔与多孔腹腔镜阑尾切除术治疗急性化脓性阑尾炎患者的效果比较

单孔与多孔腹腔镜阑尾切除术治疗急性化脓性阑尾炎患者的效果比较

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目的:比较单孔与多孔腹腔镜阑尾切除术治疗急性化脓性阑尾炎患者的效果.方法:选取 2022 年 5 月至 2023 年 9 月该院收治的 80 例急性化脓性阑尾炎患者进行前瞻性研究,按照随机数字表法将其观察组和对照组各 40 例.对照组采用传统多孔腹腔镜阑尾切除术治疗,观察组采用单孔腹腔镜阑尾切除术治疗.比较两组临床疗效、围术期指标,手术前后血清炎性因子[C反应蛋白(CRP)、肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)]水平,以及并发症发生率.结果:观察组治疗总有效率为 97.50%(39/40),对照组治疗总有效率为 92.50%(37/40),组间比较差异无统计学意义(P>0.05);观察组手术时间长于对照组,术中出血量少于对照组,术后肠道排气时间和住院时间早于对照组,术后视觉模拟评分法(VAS)评分及血清CRP、TNF-α、IL-6 水平低于对照组,差异均有统计学意义(P<0.05);观察组并发症发生率为 5.00%(2/40),低于对照组的 20.00%(8/40),差异有统计学意义(P<0.05).结论:单孔与多孔腹腔镜阑尾切除术治疗急性化脓性阑尾炎患者的总有效率相当,但单孔腹腔镜阑尾切除术创伤较小,可有效减少术中出血量,减轻疼痛程度,缩短术后肠道排气时间和住院时间,降低并发症发生率和炎性因子水平,但有可能延长手术时间.
Comparison of effects of single-port and multi-port laparoscopic appendectomy in treatment of patients with acute suppurative appendicitis
Objective:To compare effects of single-port and multi-port laparoscopic appendectomy in treatment of patients with acute suppurative appendicitis.Methods:A prospective study was conducted on 80 patients with acute suppurative appendicitis admitted to the hospital from May 2022 to September 2023.According to the random number table method,they were divided into observation group and control group,40 cases in each.The control group was treated with traditional multi-port laparoscopic appendectomy,while the observation group was treated with single-port laparoscopic appendectomy.The clinical efficacy,the levels of perioperative indexes,serum inflammatory factors[C-reactive protein(CRP),tumor necrosis factor-α(TNF-α),interleukin-6(IL-6)]levels before and after the surgery,and the incidence of complications were compared between the two groups.Results:The total effective rate was 97.50%(39/40)in the observation group and 92.50%(37/40)in the control group,there was no significant difference between the two groups(P>0.05).The operation time of the observation group was longer than that of the control group,the intraoperative blood loss was less than that of the control group,the postoperative intestinal exhaust time and the hospitalization time were earlier than those of the control group,the visual analogue scale(VAS)score and the serum CRP,TNF-α,IL-6 levels 12 h after the surgery were lower than those of the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 5.00%(2/40),which was lower than 20.00%(8/40)in the control group,and the difference was statistically significant(P<0.05).Conclusions:The curative effects of single-port and multi-port laparoscopic appendectomy in the treatment of the patients with acute suppurative appendicitis are similar,but the single-port laparoscopic appendectomy has less trauma,which can effectively reduce the amount of intraoperative blood loss,reduce the degree of pain,shorten the postoperative intestinal exhaust time and the hospitalization time,and reduce the incidence of complications and the levels of inflammatory factors,but it may prolong the operation time.

Single portMulti-portLaparoscopic appendectomyAcute suppurative appendicitisComplication

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遵义市红花岗区人民医院肝胆外科,贵州 遵义 563000

单孔 多孔 腹腔镜阑尾切除术 急性化脓性阑尾炎 并发症

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(16)
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