Effect Analysis of Stage Ⅰ Laparoscopic Surgery and Conservative Method in the Treatment of Periappendicular Abscess
Objective To investigate the effect of stageⅠlaparoscopic surgery and conservative methods in the treatment of periappendicular abscess.Methods A total of 60 patients with periappendiceal abscess admitted to Dongguan Dongcheng Hospital from February 2021 to January 2023 were selected.They were randomly divided into two groups,30 cases in each group.The control group was treated with conservative method,and the study group was treated with stage Ⅰ laparoscopic surgery.The clinical indexes,inflammatory response levels,complications and quality of life scores of the two groups were compared.Results In the study group,the recovery time of gastrointestinal function was(16.2±4.9)h,the overall duration of hospitalization was(6.9±0.8)d,the duration of antibiotic application was(3.0±0.9)d,the time for getting out of bed was(3.5±0.2)d,and the duration of abdominal pain was(5.5±1.0)d,which were shorter than(27.4±3.8)h,(10.7±0.9)d,(8.3±1.3)d,(6.1±0.3)d,(7.8±1.1)d in control group(P<0.05).The levels of white blood cell count(WBC),inter leukin-6(IL-6)and C-reactive protein(CRP)in both groups after treatment were decreased compared with those before treatment(P<0.05).The levels of WBC,IL-6 and CRP in the study group after treatment were lower than those in the control group(P<0.05).The total complication rate of the study group was 3.3%,which was lower than 33.3%of the control group(P<0.05).The social function score of the study group was(84.5±4.2)points,mental status score was(85.7±4.1)points,physiological function score was(84.6±4.3)points,and physical function score was(83.9±4.4)points,which were higher than(68.7±4.4)points,(69.1±4.2)points,(68.2±4.8)points,(67.1±4.9)points in control group(P<0.05).Conclusion In the treatment of patients with periappendicular abscess,compared with conventional conservative treatment,the application of stageⅠ laparoscopic surgery can accelerate the disease recovery of patients,promote the early recovery of gastrointestinal function of patients,shorten the length of hospital stay of patients,reduce the inflammatory response of patients,improve the prognosis of patients,and have better clinical efficacy.
periappendicular abscessconservative treatmentstageⅠ laparoscopic surgeryinflammatory responsecomplicationgastrointestinal function
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维普
