摘要
目的:探讨小切口阑尾切除术治疗急性阑尾炎的临床疗效。方法:将我院2009年2月～2011年9月期间收治的120例急性阑尾炎患者随机分为对照组和观察组,每组60例。其中对照组在硬膜外麻醉后采用传统阑尾切除术进行治疗,观察组在连续硬膜外麻醉后采取小切口阑尾切除术进行治疗。对比两组手术时间、住院时间、切口感染发生率及不良反应发生情况。结果:两组患者临床治疗情况比较,观察组切口长度、住院时间短于对照组,差异有统计学意义(P<0.05)。手术时间比较无明显差异,无统计学意义。两组术后切口感染及并发症情况对比,对照组伤口感染3例、肺部感染1例、切口裂开1例、尿路感染1例、切口疝2例、肠粘连2例、肠梗阻3例;并发症发生率21.67%;观察组伤口感染4例,并发症发生率6.67%。两组比较观察组优于对照组,差异明显具有统计学意义。结论:小切口阑尾切除术具有损伤小、术后恢复快、不良反应少、住院时间短等特点,根据临床病情合理应用能够得到更好的临床效果。
Objective：To investigate the small incision appendectomy for acute appendicitis clinical curative effect.Methods：In our hospital from 2009 February to 2011 September a total of 120 cases of acute appendicitis patients were randomly divided into control group and observation group,60 cases in each group.Among the control group during epidural anesthesia after using conventional appendectomy for treatment,the observation group was treated with small incision appendectomy;observation group during continuous epidural anesthesia taken after small incision appendectomy for treatment.Comparative observation of two groups of operation time,hospitalization time,incision infection rate and the occurrence of adverse reaction.Results：The two groups of patients with clinical treatment,the observation group incision length,length of time is shorter than the control group,the difference was statistically significant（P0.05）.There was no difference between the operation time,no statistical significance.Two groups of postoperative incision infection and complications compared with control group,3 cases of wound infection,1 cases of pulmonary infection,disruption of incision in 1 cases,1 cases of urinary tract infection;a complication rate of 11.7%;the observation group 4 cases of wound infection,the incidence of complications was 6.67%.Comparison between two groups of observation group was better than the control group,difference has statistical significance.Conclusion：The small incision appendectomy has little injury,quick postoperative recovery,less adverse reaction,short hospitalization time and other characteristics,according to the clinical condition of reasonable application can obtain better clinical effect.
出处
《现代生物医学进展》
CAS
2012年第22期4327-4329,共3页
Progress in Modern Biomedicine
