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微创小切口手术对单纯性阑尾炎的效果评价 预览

The Effect of Small Incision Minimally Invasive Surgery with Simple Appendicitis
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摘要 目的讨论微创小切口手术治疗单纯性阑尾炎患者的临床效果。方法于2012年8月-2017年8月,方便选取该院的88例单纯性阑尾炎患者作为该文的研究对象,并将其分为对照组(实施传统手术)与研究组(实施微创小切口手术),评判标准:治疗优良性、各项手术治疗指标、并发症发生率。结果研究组患者治疗优良性的97.73%明显高于对照组的84.09%(χ^2=4.950 0,P<0.05)。研究组患者手术时间(56.59±9.02)min明显低于对照组的(82.06±9.59)min;研究组患者术中出血量(36.69±6.84)mL明显低于对照组的(55.95±5.81)mL;研究组患者术后排气时间的(17.06±2.95)min明显低于对照组的(26.12±3.59)min;研究组患者住院时间的(3.86±1.37)d明显低于对照组的(5.11±1.98)d (t=12.83 7、14.23 4、12.933 6、3.443 6,P<0.05)。研究组患者并发症发生率11.36%明显低于对照组的29.55%(χ^2=4.469 8,P<0.05)。结论与传统手术相比,微创小切口手术的实施可更有效的提高该病症的治疗效果,改善术后预后效果,值得推广。 Objective To discuss clinical effect of the small incision minimally invasive surgical treatment of patients with simple appendicitis. Methods August 2012 to August 2017, a total of 88 cases of simple appendicitis patients were convenient selected as the research object of this article. They were divided into the control group(traditional surgery) and study group(small incision minimally invasive surgery). Criteria: superiority of treatment, the surgical treatment for indicators, and the incidence of complications. Results In the study group, 97.73% of patients had positive and positive treatment, compared with 84.09% in the control group(χ^2=4.950 0, P<0.05). The operation time of patients in the study group was significantly lower than that of the control group. The operative time, intraoperative blood loss, postoperative exhaust time and hospitalization time of the patients in the study group[(56.59±9.01)min,(36.69±6.84)mL,(17.06±2.95)min,(3.86±1.37)d] were significantly lower than those in the control group [(82.06 ±9.59)min,(55.95 ±5.81)mL,(26.12 ±3.59)min,(5.11 +1.98)d](t =12.832 7, 14.235 4, 12.933 6, 3.443 6, P<0.05). The incidence of complications in the study group was 11.36%, which was significantly lower than that in the control group(29.55%)(χ^2=4.469 8, P<0.05). Conclusion Compared with the traditional surgery, the small incision minimally invasive surgery can be more effective to improve the therapeutic effect and the prognosis. It is worthy of promotion.
作者 应志勇 YING Zhi-yong(Department of Surgery,Xiapu County Hospital of Traditional Chinese Medicine,Xiapu,Fujian Province,355100 China)
出处 《中外医疗》 2019年第12期61-63,共3页 China & Foreign Medical Treatment
关键词 微创小切口手术 单纯性阑尾炎 传统手术 治疗优良性 并发症发生率 治疗效果 Minimally invasive and small-incision surgery Simple appendicitis Traditional surgery Excellent and benign treatment Incidence of complications Treatment effect
作者简介 应志勇(1975-),男,江西南昌人,本科,副主任医师,研究方向:外科.
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