急性阑尾炎采用小切口阑尾切除术治疗效果分析.docVIP

急性阑尾炎采用小切口阑尾切除术治疗效果分析 　　[摘要] 目的 分析急性?@尾切除术治疗中应用小切口操作的临床效果。方法 随机选取与该校有合作关系的山东省菏泽市单县中心医院在2016年9月―2017年9月间收治的152例急性阑尾炎手术患者为研究对象。在所有患者中76例采取了传统切除术治疗设为对照组，另76例患者采取了小切口阑尾切除术治疗设为观察组。对比两组患者在手术切口大小、术中出血量、手术时长、术后初次下床活动时间节点、以及术后并发症等情况，进而评估两组患者在采取了不同切除术方式后康复情况，以便鉴证小切口切除术在急性阑尾炎手术中的临床治疗效果。结果 对照组急性阑尾炎患者的手术时长为（48.25±5.95）min，略短于观察组患者的（50.17±6.25）min，两组患者术后并发症发病率较为接近，差异无统计学意义（P0.05）。但是观察组急性阑尾炎患者在术中的出血量较低，仅为（31.27±6.02）mL，明显低于对照组患者的（48.27±6.55）mL。此外，观察组急性阑尾炎患者的术中出血量平均值为（31.27±6.02）mL，创口切开长度为（2.69±0.39）cm，患者术后初次下床活动时间为（9.16±1.98）h，其各项指标与对照组患者进行比较显著，创口较小、出血量少、初次下床活动时间较早差异有统计学意义（P0.05）。结论 针对急性阑尾炎患者采取小切口手术治疗，其本身的手术创口较小，术中出血量较少，而且具备术后恢复时间较快的特点。同时治疗费用较低，具备较高的临床治疗效果，适合临床推广。 　　[关键词] 阑尾炎；小切口；切除术；疗效分析 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2018）01（b）-0042-03 　　[Abstract] Objective To analyze the clinical effect of small-incision appendectomy in treatment of acute appendicitis. Methods 152 cases of patients with acute appendicitis in the Heze Shanxian Central Hospital cooperated with our school from September 2016 to September 2017 were selected as the research objects and divided into two groups with 76 cases in each， the control group adopted the traditional resection， while the observation group were treated with small-incision appendectomy， and the size of operative incision， intraoperative bleeding amount， operation time， postoperative first time of getting out bed， and postoperative complications were compared between the two groups thus evaluating the recovery situation in order to determine the clinical effect. Results The operation time in the control group was slightly shorter than that in the observation group[（48.25±5.95）min vs （50.17±625）min]， and the incidence rate of postoperative complications of the two groups was similar（P0.05）， the difference was not statistically significant， but the intraoperative bleeding amount in the observation group was lower than that in the control group[（31.27±6.02）mL vs （48.27±6.55）mL]， besides， the average intraoperative bleeding amount， wou