两种微创手术治疗老年阑尾炎疗效及生活质量的对比性研究.docVIP

精品论文 参考文献 两种微创手术治疗老年阑尾炎疗效及生活质量的对比性研究 (1承德医学院，河北承德，067000；2保定市第二医院，河北保定，071000) 　　[摘要] 目的：对比二氧化碳气腹与免气腹腹腔镜阑尾切除术治疗老年阑尾炎临床疗效及生活质量。方法：2015年1月至2016年10月，120例老年阑尾炎患者依据随机平均原则分为两组，观察组60例患者行免气腹腹腔镜阑尾切除术，对照组60例患者行二氧化碳气腹腹腔镜阑尾切除术，收集并对比两组疗效及不同时间点（术前及术后2、4周）消化系统生活质量指数量表（GIQLI）评分。结果：①疗效：中转开腹5例（观察组3例，对照组有2例），至术后4周无严重并发症发生，两组手术成功率无明显差别（95.00%vs96.67%，Pgt;0.05）。②GIQL总积分及自觉症状积分、躯体生理功能状态积分、社会及日常生活积分，两组术前接近（Pgt;0.05）；两组术后2周较术前有所恢复（Plt;0.05），且观察组优于对照组（Plt;0.05）；两组术后4周接近正常，两组间无统计学差异（Pgt;0.05）。结论：腹腔镜阑尾切除术能有效治疗老年阑尾炎，且免气腹手术患者生活质量恢复更快。 　　[关键词] 阑尾切除术；老年阑尾炎；免气腹；手术成功率；生活质量 　　A comparative study on the efficacy and quality of life of two minimally invasive surgical treatment of elderly patients with appendicitis 　　Zhang Kai 1 Zhao Chunqing2 　　(1 Chengde Medical College, Chengde Hebei, 067000;2Second Baoding hospital, Baoding, Hebei 071000) 　　[Abstract] Objective Comparison of carbon dioxide pneumoperitoneum and gasless laparoscopic appendectomy for clinical efficacy and life quality of senile appendicitis.Methods From January 2015 to October 2016,120 cases of elderly patients with appendicitis were divided into two groups according to the principle of random.The observation group of 60 patients underwent gasless laparoscopic appendectomy.The control group of 60 patients who underwent.carbon dioxide pneumoperitoneum laparoscopic appendectomy.TO collect and to compare both of the clinical efficacy and the points of GIQLI of different time (the time before operation，2 weeks after operation，4 weeks after operation).Results 5 cases were tansfered to open surgery(observation group 3 cases,control group 2 control group).No serious complications occurred 4 weeks after operation.There was no significant difference in the success rate of operation between the two groups(95.00%vs96.67%，Pgt;0.05).On the side of aggregate score of GIQLI、conscious symptom、physical function state、social and daily life，two groups of preoperative approached(Pgt;0.05).The 2 groups recovered two weeks after surgery(Plt;0.05).The obs