摘要
目的分析两种方式处理阑尾根部在腹腔镜阑尾切除术的应用效果。方法回顾性分析2014年6月至2015年6月在本院接受腹腔镜阑尾切除手术的68例阑尾炎患者的临床资料,按照术中不同处理方式分为两组,将腹腔镜阑尾切除术中采用7号线三重套扎方法处理30例患者设为Ⅰ组,其余采用可吸收夹闭合处理阑尾根部38例患者设为Ⅱ组,对比两组具体治疗情况。结果两组患者术后均无并发症发生,但治疗后两组营养指标水平均较治疗前降低,Ⅰ组降低幅度比Ⅱ组小(P<0.05);Ⅰ组下地活动时间、住院时间均比Ⅱ组短,且医疗费用少于Ⅱ组(P<0.05)。结论腹腔镜阑尾切除采用7号线三重套扎法或可吸收夹闭合法处理阑尾根部均安全可靠,7号线三重套扎方法恢复较快,住院时间短且经济实用。
Objective To analyze the application effect of two ways to deal with the appendix in laparoscopic appendectomy. Methods A retrospective analysis from June 2014 to June 2015 in hospital underwent laparoscopic appendectomy surgery in 68 cases of appendicitis patient clinical data, in accordance with intraoperative different treatment was divided into two groups. The laparoscopic appendectomy 7 line three ligation. Methods In 30 cases as group Ⅰused in the operation, the rest of the absorbable clips closed in handling of the root of appendix in 38 cases as group Ⅱ Results There were no postoperative complications occurred, but after the treatment of nutritional index levels of the two groups were lower than before treatment, smaller decline in Group Ⅰ than in group; groupⅠ, ambulation time and hospitalization time were shorter than group Ⅱ, and medical costs less than group Ⅱ（P〈0.05）; ambulation time and hospitalization time in group Ⅰ were shorter than in group Ⅱ, and medical costs less than group Ⅱ （P〈0.05）. Conclusion Laparoscopic appendectomy with 7 line three ligation or absorbable clip closure in handling of the root of appendix are safe and reliable, three 7 line ligation method had fast recovery, short hospitalization time and economy.
出处
《临床普外科电子杂志》
2016年第1期32-34,共3页
Journal of General Surgery for Clinicians(Electronic Version)
