摘要
目的 探讨阑尾圈套器的临床应用价值.方法 回顾性分析2011年1月至2012年6月重庆市第九人民医院收治的50例阑尾炎患者的临床资料.探讨通过阑尾圈套器丝线悬吊的方法行二孔法腹腔镜阑尾切除术并分析其临床疗效.采用门诊和电话进行随访,随访时间截至2012年12月.结果 50例患者手术获得成功,其中1例穿孔性阑尾炎腹膜外位,暴露不清,采用三孔法完成手术.手术时间（不包含麻醉前后及准备器械时间）为（35±4）min（25～75 min）,术中出血量为5～8 mL,患者术后肛门排气时间为（10.0± 1.6）h（6.0 ～20.0 h）.术后无肠瘘、切口感染、腹腔脓肿等近期并发症发生.术后切口微创美观.术后病理检查示急性化脓性阑尾炎27例、穿孔性阑尾炎13例、急性单纯性阑尾炎10例.全组患者获得随访（门诊随访17例、电话随访33例）,术后平均随访时间为10个月（6～18个月）,未发生戳孔疝、粘连性肠梗阻等远期并发症.结论 阑尾圈套器制作简单、经济实用,是一种简单易行的方法.
Objective To investigate the value of a needle loop retractor in the appendectomy.Methods The clinical data of 50 patients with appendicitis who were admitted to the Chongqing Ninth People＇s Hospital from January 2011 to June 2012 were retrospectively analyzed.Two-port laparoscopic appendectomy with the needle loop retractor was performed to all the patients,and its efficacy was analyzed.Patients were followed up at the out-patient department or via telephone till December 2012.Results The operation was successfully completed on all the patients.One patient received triple-port laparoscopic appendectomy because of incomplete exposure.The operation time the time for was （35 ±4）minutes （range,25-75 minutes）,the intra-operative blood loss was 5-8 mL,and the time of postoperative anal exhaust was （10.0 ± 1.6） hours （range,6.0-20.0 hours）.No complications such as intestinal fistula,incisional infection and abdominal abscess was detected.The results of postoperative pathological examination confirmed that 27 patients were with suppurative appendicitis,13 with perforative appendicitis,10 with acute appendicitis.All the patients were followed up with a mean time of 10 months （range,6-18 months）,and no long-term complications such as incisional hernia or adhesive ileus occured.Conclusion Needle loop retractor is simple,economical and practical in appendectomy.
出处
《中华消化外科杂志》
CAS
CSCD
北大核心
2014年第7期567-569,共3页
Chinese Journal of Digestive Surgery
