摘要
目的通过与三孔腹腔镜阑尾切除术比较,分析经脐单孔单通道腹腔镜阑尾切除术的治疗优势。方法随机抽取2013年7月至2015年7月于东莞康华医院行经脐单孔单通道腹腔镜阑尾切除术、三孔腹腔镜阑尾切除术患者各40例为研究对象,分别标记为单孔组与三孔组,比较两组患者术中、术后相关指标、并发症发生情况及术后病理结果。结果单孔组与三孔组患者术中出血量、术后胃肠功能恢复时间、并发症发生率、病理结果比较差异均无统计学意义(均P>0.05);单孔组患者手术时间为(58±10)min、切口满意度评分为(4.6±0.4)分,较三孔组的(50±12)min、(3.2±0.8)分高,差异均有统计学意义(均P<0.05);单孔组无止痛药物应用患者,三孔组止痛药物应用率12.5%,两组比较差异有统计学意义(P<0.05)。结论经脐单孔单通道与三孔腹腔镜阑尾切除术均具有微创、术后并发症少、术后恢复快的特点,但前者术后无需使用止痛药物且切口美容效果更好。
Objective To analyze the advantages of transumbilical single port single channel laparoscopic appendectomy by comparing with three-port laparoscopic appendectomy.Methods 40 cases of patients who underwent transumbilical single port single channel laparoscopic appendectomy and another 40 patients who underwent threeport laparoscopic appendectomy in our hospital from July 2012 to July 2015 were randomly selected and were treated as the single-port group and three-port group.The intraoperative and postoperative relative indexes, complications and postoperative pathological results were compared between the 2 groups.Results The differences in operation time,intraoperative blood loss,postoperative gastrointestinal function recovery time,incidence rate of complications and pathological results between the single-port group and the three-port groups were not statistically significant（P〉0.05）.The incision satisfaction score（4.6±0.4） of the single-port group was significantly higher than that of the three-port group（3.2±0.8）（P〈0.05）.There were no use of analgesics and drainage tube indwelling in the single-port group.The rates of use of analgesics and drainage tube indwelling in the three-port group were 12.5%.The differences between the 2 groups were statistically significant（P〈0.05）.Conclusion Both of transumbilical single port single channel and three-port laparoscopic appendectomy have characteristics of minimally invasive,few postoperative complications and faster postoperative recovery but the former doesn,t need use of analgesic drugs after operation and the cosmetic effect of incision is better.
出处
《中国药物经济学》
2017年第11期114-117,共4页
China Journal of Pharmaceutical Economics
关键词
经脐单孔单通道腹腔镜阑尾切除术
三孔腹腔镜手术
阑尾炎
切口满意度
Transumbilical single port single channel laparoscopic appendectomy
Three hole laparoscopic surgery
Appendicitis
incision satisfaction
