小切口手术与传统手术治疗急性阑尾炎疗效比较

[摘要] 目的 探讨小切口手术与传统手术治疗急性阑尾炎临床疗效。 方法 选择我院2009年2月～2012年12月就诊的120例急性阑尾炎患者，根据治疗方法分为两组，每组60例，观察组进行小切口阑尾切除术治疗，对照组进行传统阑尾切除术治疗，观察两组患者术中出血量、平均手术时间、住院时间、术后排气时间及并发症情况，并进行比较分析。 结果 观察组手术时间、术中出血量及术后排气时间、术后住院时间，观察组明显均优于对照组，差异具有统计学意义（P

[关键词] 急性阑尾炎；小切口阑尾切除术；超声定位

[中图分类号] R656 [文献标识码] B [文章编号] 2095-0616（2013）13-199-02

Comparison of efficacy of small incision appendectomy and traditional operation in treatment of acute appendicitis

XIONG Hongdian

Department of the Third General Surgery， Zhumadian Central Hospital， Zhumadian 463000， China

[Abstract] Objective To study the clinical effect of small incision appendectomy and traditional operation in treatment of acute appendicitis. Methods The clinical data of 120 patients with acute appendicitis who were in hospital from February 2009 to December 2011 were retrospectively analyzed. All patients were divided into the control group and the experiment group according to the treatment method， with 60 cases in each group. The experiment group was given small incision appendectomy and the control group was treated by traditional operation. The amount of bleeding， the average operation time， hospitalization time， postoperative exhaust time and complications of two groups were observed and compared. Results In experiment group， the average operation time were shorter，the bleeding volumes were less and the postoperative evacuating time of the experiment group was earlier than those of the control group. The differences were statistically significant （P

[Key words] Acute appendicitis； Small incision appendectomy； Ultrasound localization

急性阑尾炎是外科常见病，也是最多见的急腹症，是由阑尾官腔阻塞、细菌入侵、胃肠道疾病等因素引起的炎性病变，主要表现为转移性右下腹痛以及阑尾点的压痛和反跳痛，欧美国家每年平均发病率约0.1%[1]。早期诊断、早期治疗，患者多可在短期逆恢复健康，降低死亡率，原则上急性阑尾炎一经确诊，应尽早行手术治疗[2]。麦氏切口行阑尾切除术是传统手术方法，沿用至今，，随着医学技术的发展，已不能满足患者对生活质量需求。小切口手术越来越受到临床医生的重视。本研究回顾性分析我院2009年2月～2012年12月就诊的120例急性阑尾炎患者临床资料，旨在探讨小切口手术与传统手术治疗急性阑尾炎临床疗效，现报道如下。