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目的探讨腹部小切口治疗急性阑尾炎的临床效果及安全性。方法选取符合标准的急性阑尾炎患者80例,随机分为2组,观察组采用腹部小切口行阑尾切除术,对照组采用传统手术方式,比较二者的手术效果和术后并发症。结果观察组患者在手术时间、术中出血量、术后排气时间、术后止痛药物使用率及术后住院时间等方面,均优于对照组,差异存在统计学意义(P<0.05);观察组患者并发症发生率为7.50%,显著低于对照组的20.00%,二者存在统计学差异(P<0.05)。结论腹部小切口阑尾切除术对医生和设备要求低、手术适应证广、手术时间短、创伤轻和术后恢复快,值得临床推广应用,尤其适合基层医院。
Objective To investigate the clinical effect and safety of abdominal small incision in the treatment of acute appendicitis. Methods Eighty patients with acute appendicitis were selected and randomly divided into two groups. The observation group was treated with appendectomy by small incision of abdomen. The control group was treated by conventional operation. The operative effect and postoperative complications were compared between the two groups. Results The observation group was superior to the control group in terms of operation time, intraoperative blood loss, postoperative exhaust time, postoperative analgesic drug use rate and postoperative hospital stay, the difference was statistically significant (P <0.05). The incidence of complications in the observation group was 7.50%, which was significantly lower than that in the control group (20.00%). There was a significant difference between the two groups (P <0.05). Conclusion The small incision appendectomy has low requirements on doctors and equipment, wide range of surgical indications, short operative time, light trauma and rapid postoperative recovery. It is worthy of clinical application and is especially suitable for primary hospitals.