摘要
目的探讨基层医院急性阑尾炎患者的手术方式最佳选择。方法纳入普外科急性阑尾炎患者80例,按照随机数字表法分为两组各40例:观察组予以小切口阑尾切除术治疗,对照组予以传统阑尾切除术治疗,对比分析两组的术中及术后情况,评价手术效果与手术安全性。结果观察组的术中指标(手术切口长度、手术时间、术中出血量)及术后情况(下床活动时间、肛门排气时间、住院时间、止痛药使用率)均显著少于对照组,观察组的术后并发症率显著少于对照组(2.5%vs 20.0%),组间比较均具有统计学意义(P﹤0.05)。结论小切口阑尾切除术具有创伤小、安全性好、疗效确切、并发症少、医疗费用低、美观性好等优点,适合在基层医院推广应用。
Objective To discuss the best choice of surgical methods for patients with acute appendicitis in the basic level hospital. Methods 80 cases of acute appendicitis patients in Department of general surgery, according to the random number table method, they were divided into two groups, there were 40 cases of each group ：the observation group was treated with small incision appendectomy, the control group was treated with conventional appendectomy, intraoperative and postoperative conditions of two groups were compared and analyzed, the effect and safety of operation were evaluated. Results Intraoperative indexes of the observation group（the surgical incision length, operation time, blood loss during operation） and after the surgery,（ the time of bed, the time of anus exhaust, the length of hospital stay, and the use of analgesics） were significantly less than those of the control group, the postoperative complication rate of the observation group was significantly less than that of the control group（2.5% vs 20%）, the comparison between the two groups was statistically significant（P﹤0.05）. Conclusion Small incision appendectomy has the advantages of less trauma, good safety, exact curative effect, less complications, low medical cost, good appearance, etc, it is suitable for popularization and application in basic level hospitals.
出处
《疾病监测与控制》
2016年第9期713-715,共3页
Journal of Diseases Monitor and Control
