摘要
目的探讨脐部三孔法腹腔镜阑尾切除术的应用价值。方法选取70例急性阑尾炎患者行腹腔镜下阑尾切除术,行脐部三孔法(观察组)与传统三孔法(对照组)进行比较,各35例。对该两组患者的年龄、手术中操作时间、术中出血量、手术后住院时间进行比较。结果34例顺利完成脐部三孔法腹腔镜阑尾切除术,1例中转开腹,中转率2.8%。观察组和对照组患者平均年龄分别为(22.03±6.07)岁和(36.43±9.82)岁,平均手术操作时间分别(41.66±14.03)min和(24.20±10.12)min,差异有统计学意义(P<0.05);术中出血量分别为(4.86±2.39)m L和(5.29±2.01)m L,术后住院时间分别为(3.09±0.66)d和(2.89±0.58)d,两组比较差异均无统计学意义;两组患者术后均无严重并发症,差异均无统计学意义。结论脐部三孔法腹腔镜阑尾切除术操作安全可行,切口瘢痕隐蔽,美容效果较佳,值得在无单孔腹腔镜设备的基层医院推广。
Objective To evaluate the clinical value of laparoscopic appendectomy with three holes at the umbilicus.Methods70cases ofacute appendicitis were treated with laparoscopic appendectomy,of which35cases were selected,and the umbilical three hole method(observationgroup)was compared with the traditional three hole method(control group).The age of the two groups,the time of operation,the amount of bleedingduring operation and the length of hospital stay after operation were compared.Results34cases underwent complete laparoscopic appendectomywith three holes and1cases were converted to laparotomy.The conversion rate was2.8%.The observation group and the control group respectively.The average age(22.03±6.07)and(36.43±9.82)years old,the average operation time was(41.66±14.03)min and(24.20±10.12)min,the differencewas statistically significant(P<0.05);the amount of bleeding were(4.86±2.39)and mL(5.29±2.01)mL,postoperative hospitalization time was(3.09±0.66)d and(2.89±0.58)d,two groups of patients had no severe complications,there were no significant differences.Conclusion laparoscopic appendectomywith three holes in the umbilicus is safe and feasible,and the incision scar is concealed,and the cosmetic effect is better.It is worth popularizingin the primary hospital without single hole laparoscopic equipment.
作者
沈宏伟
许可
陈喆
Shen Hong-wei;Xu Ke;Chen Zhe(Department of general surgery, Xiangcheng District Second People's Hospital, Suzhou, Jiangsu, 215143, China)
出处
《当代医学》
2017年第25期36-38,共3页
Contemporary Medicine
关键词
腹腔镜阑尾切除术
脐部三孔法
隐疤痕
Laparoscopic appendectomy
Umbilical three hole method
Scar-hidden
