必须声明标量变量 "@Script_ID"。 腹腔镜微创阑尾切除术和传统开腹阑尾切除术在基层医院应用的对比研究-《赣南医学院学报》

[1]郑爱桦,邓国军,钟明成,等.腹腔镜微创阑尾切除术和传统开腹阑尾切除术在基层医院应用的对比研究[J].赣南医学院学报,2019,39(10):1034-1036.[doi:10.3969/j.issn.1001-5779.2019.10.016]
　ZHEN Ai-hua,DENG Guo-jun,ZHONG Ming-cheng,et al.Comparative study of laparoscopic minimally invasive appendectomy and traditional open appendectomy in primary hospitals[J].,2019,39(10):1034-1036.[doi:10.3969/j.issn.1001-5779.2019.10.016]
点击复制

腹腔镜微创阑尾切除术和传统开腹阑尾切除术在基层医院应用的对比研究()
分享到：

《赣南医学院学报》[ISSN:1001-5779/CN:36-1154/R]

卷:
39
期数:
2019年10期
页码:
1034-1036
栏目:
临床研究
出版日期:
2019-11-24

文章信息/Info

Title:
Comparative study of laparoscopic minimally invasive appendectomy and traditional open appendectomy in primary hospitals
文章编号:
1001-5779(2019)10-1034-03
作者:
郑爱桦; 邓国军; 钟明成; 邱国煌; 严 杰; 谢 鹏
赣州市南康区第一人民医院,江西 赣州 341000
Author(s):
ZHEN Ai-hua;  DENG Guo-jun;  ZHONG Ming-cheng;  QIU Guo-huang;  YAN Jie;  XIE Peng
Nankang First People's Hospital, Ganzhou, Jiangxi 341000
关键词:
腹腔镜;  开腹;  阑尾炎;  阑尾切除;  基层医院
Keywords:
Laparoscopy;  Laparotomy;  appendicitis;  appendectomy;  primary hospital
分类号:
R656.8
DOI:
10.3969/j.issn.1001-5779.2019.10.016
文献标志码:
A
摘要:
目的:对比研究腹腔镜阑尾切除术与传统开腹阑尾切除术的优劣。方法:回顾性分析2014年1月-2016年12月间收治的急性阑尾炎切除术患者共438例,其中腹腔镜阑尾切除术213例,开腹阑尾切除术225例,分别记为A、B两组,对比两组患者切口大小、手术时间、术中出血量、住院时间、并发症发生率等。结果:A组切口长度明显小于B组(P<0.05); A组手术时间明显少于B组(P<0.05); A组术中出血量明显少于B组(P<0.05); A组住院时间与B组比较差异无统计学意义(P>0.05); 两组患者并发症集中于切口感染、肠梗阻、腹腔脓肿等病症,A组发病率明显低于B组(P<0.05)。结论:腹腔镜微创阑尾切除术相较于传统的开腹阑尾切除术具有创伤小、手术时间短、恢复快、并发症发生率低等特点,但住院时间无明显差异,并且本次研究中病例涵盖不同年龄段范围,总体效果优异,适合各个年龄段的患者使用,已经成为我院治疗阑尾炎手术的首选方法。
Abstract:
Objective: To compare the laparoscopic appendectomy and traditional open appendectomy.Methods: By using the method of retrospective study of acute appendicitis in our hospital from January 2014 to December 2016 from the resection of 438 cases, including213 cases of laparoscopic appendectomy appendectomy, 225 cases were recorded as Group A and Group B, comparing the two groups of patients with incision size, operative time, intraoperative blood loss, the hospitalization time, incidence rate of complications.Results: The incision length of Group A was significantly less than that of Group B(P<0.05); the operation time of Group A was significantly less than that of Group B(P<0.05); the bleeding volume of Group A was significantly less than that that of Group B(P<0.05); the length of hospitalization had no significant difference(P<0.05); the two groups of patients with complications from wound infection, intestinal obstruction, abdominal abscess and other diseases, the incidence rate of Group A group was significantly lower than that of Group B(P<0.05).Conclusions: Minimally invasive laparoscopic appendectomy compared with traditional open appendectomy with small trauma, short operation time, quick recovery, low complication rate, hospitalization time but no significant difference, and the cases in this study covers a wide range of different ages, the overall effect is excellent, suitable for patients of all ages, and it should be preferred in the treatment of appendectomy.

参考文献/References:

[1] 徐大华, 刘东斌.急性阑尾炎腹腔镜手术指征及技巧[J].中国实用外科杂志, 2015, 35(5):499-502.
[2] 王新海.阑尾炎临床发病特点及研究进展[J].医学信息, 2016, 29(6):45-46.
[3] 施鸿舟,石欣,汤火浩.急性阑尾炎发病特点的最新研究进展[J].当代医学,2014,(7):134-135.
[4] 孙景春.急性阑尾炎发病的主要原因及临床特点分析[J].世界最新医学信息文摘:连续型电子期刊, 2016, 16(15):68-68.
[5] 靳喜斌.开腹手术及腹腔镜手术治疗阑尾炎的对比分析[J].中国医学工程, 2016(7):106-107.
[6] 石松长, 林兴盛, 庄颖峰,等.急性阑尾炎腹腔镜与开腹手术的临床对比分析[J].福建医药杂志, 2016, 38(4):39-41.
[7] 张春高.急性阑尾炎腹腔镜与开腹手术治疗术后恢复对比[J].中国社区医师, 2016, 32(14):29-30.
[8] 但杰, 王健, 王永洪,等.腹腔镜阑尾切除术与开腹阑尾切除术的对比分析[J].实用医院临床杂志, 2016, 13(5):204-205.
[9] 韩庆良.腹腔镜切除阑尾炎的临床效果分析[J].中华临床医师杂志(电子版),2016,10(7):88.
[10] 张伟耀,周霞.腹腔镜阑尾切除术与开腹阑尾切除术的并发症大样本对比分分析[J].中国全科医学,2014,3:90-92.

相似文献/References:

[1]江玉娥,丘媚妮,陈海英,等.早期宫颈癌腹腔镜改良保留盆腔自主神经广泛子宫切除术的临床观察[J].赣南医学院学报,2015,(02):255.
　JIANG Yu-e,QIU Mei-ni,CHEN Hai-ying,et al.Clinical observation of laparoscopy in the modified nerve plane-sparing radical hysterectomy of early cervical cancer[J].,2015,(10):255.
[2]郭建萍.孕前腹腔镜宫颈峡部环扎术治疗宫颈机能不全8例疗效分析[J].赣南医学院学报,2015,(03):401.[doi:10.3969/j.issn.1001-5779.2015.03.022]
[3]周惠玲,周美兰,吴晓婷.六西格玛管理模式在腹腔镜器械管理中的应用[J].赣南医学院学报,2016,36(01):128.[doi:10.3969/j.issn.1001-5779.2016.01.046]
[4]孙亭立,淦 勤,刘合春,等.自行脱落胆道支架在腹腔镜胆总管探查一期缝合中的临床应用[J].赣南医学院学报,2016,36(03):417.[doi:10.3969/j.issn.1001-5779.2016.03.025]
[5]金 月,汪裕伟,王小明.腹腔镜下胆囊切除联合腹膜透析置管术1例[J].赣南医学院学报,2017,37(02):262.[doi:10.3969/j.issn.1001-5779.2017.02.027]
[6]杨 文,王 波,曹 闯,等.腹腔镜联合阴囊小切口治疗低位隐睾的疗效观察[J].赣南医学院学报,2018,38(01):46.[doi:10.3969/j.issn.1001-5779.2018.01.012]
　YANG Wen,WANG Bo,CAO Chuang,et al.Curative Effect of Laparoscopy Combined with Scrotal Small Incision in Treatment of Low Cryptorchidism[J].,2018,38(10):46.[doi:10.3969/j.issn.1001-5779.2018.01.012]
[7]应 勇,张坚红,宋才鑫,等.腔镜甲状腺切除术中经环甲间隙入路喉上神经外支的显露[J].赣南医学院学报,2018,38(02):140.[doi:10.3969/j.issn.1001-5779.2018.02.011]
　YING Yong,ZHANG Jian-hong,SONG Cai-xin,et al.Exposure of the External Branch of the Superior Laryngeal Nerve via Cricothyroid Space in Endoscopic Thyroidectomy[J].,2018,38(10):140.[doi:10.3969/j.issn.1001-5779.2018.02.011]
[8]陈 彪,胡志强,胡泽明,等.全腹腔镜下保留十二指肠的胰头切除术治疗胰头囊腺瘤1例报道并文献复习[J].赣南医学院学报,2019,39(10):1043.[doi:10.3969/j.issn.1001-5779.2019.10.019]
　CHEN Biao,HU Zhi-qiang,HU Ze-ming,et al.Total laparoscopic pancreatectomy with preservation of duodenum for the treatment of pancreatic cystadenoma: a case report and literature review[J].,2019,39(10):1043.[doi:10.3969/j.issn.1001-5779.2019.10.019]

备注/Memo

备注/Memo:
作者简介:郑爱桦,男,本科,主治医师,研究方向:腔镜在腹部的运用。E-mail:zah740224@163.com
更新日期/Last Update: 2019-11-20