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腹腔镜下hem-o-lok双重结扎阑尾残端治疗急性阑尾炎患者的疗效分析

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目的:探究对急性阑尾炎患者行腹腔镜下hem-o-lok双重结扎阑尾残端处理的临床疗效.方法:选取2020年3月~2022年3月医院胃肠外科收治的70例急性阑尾炎患者为研究对象,均接受腹腔镜阑尾切除术治疗.根据阑尾残端处理方法分组研究,9例根部坏疽或穿孔的阑尾炎患者采取荷包缝合包埋法,设为对照组;其余61例患者对阑尾残端采取hem-o-lok双重结扎处理,设为观察组;对比两种阑尾残端处理方法的效果.结果:与对照组相比,观察组的术中出血量更少,手术时间、住院时间也更短(P<0.05).观察组术后12h、术后24h、术后48h的VAS评分明显低于对照组(P<0.05).两组术后24h的SOD较术前明显降低(P<0.05),但组间术后24h的SOD水平对比,无显著差异(P>0.05).观察组、对照组的术后并发症总发生率对比无显著差异(P>0.05).结论:腹腔镜下hem-o-lok双重结扎阑尾残端治疗急性阑尾炎的效果突出.
Analysis of the Efficacy of Laparoscopic Hem-O-Lok Double Ligation of the Stump of the Appendix in Patients with Acute Appendicitis
Objective:To explore the clinical efficacy of laparoscopic hem-o-lok double ligation of appendix stump in patients with acute appendicitis.Methods:70 patients with acute appendicitis admitted to the gastrointestinal surgery department of the hospital from March 2020 to March 2022,all underwent laparoscopic appendectomy.According to the group study,9 patients with root gangrene or perforation adopted the appendicitis suture embedding method,which was set as the control group;The remaining 61 patients took hem-o-lok double ligation of the appendix stump as the observation group;Compared the effect of the two treatment methods of the appendix stump.Results:Compared with the control group,the observation group had less intraoperative bleeding,shorter surgical time,and shorter hospital stay(P<0.05).The VAS scores of the observation group were significantly lower than those of the control group at 12h,24h and 48h after surgery(P<0.05).The SOD levels at 24 hours after surgery in the two groups were significantly reduced compared to before surgery(P<0.05),but there was no significant difference in SOD levels between the groups at 24 hours after surgery(P>0.05).There was no significant difference in the total incidence of postoperative complications between the observation group and the control group(P>0.05).Conclusion:Laparoscopic hem-o-lok double ligation of appendicitis stump is effective in the treatment of acute appendicitis.

acute appendicitisappendix stumphem-o-lok double ligationpurse-suture embeddingcomplications

周世灼、林锦熙、蔡方晋

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政和县医院(福建 南平 353600)

福建中医药大学附属第三人民医院(福建 福州 350108)

福鼎市医院(福建 宁德 355200)

急性阑尾炎 阑尾残端 hem-o-lok双重结扎 荷包缝合包埋 并发症

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(8)
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