摘要
目的比较腹腔镜下阑尾切除术(laparoscopic appendectomy,LA),阑尾残端用丝线结扎并荷包缝合包埋与hemo-lok双重结扎的两种处理方法的效果。方法方便选择该院2016年1月—2017年12月的122例急性阑尾炎患者,将患者分为荷包组61例、hem-o-lok组61例,分别接受阑尾残端用丝线结扎并荷包缝合包埋、hem-o-lok夹闭处理,比较效果。结果荷包组手术时间、手术费用与Hem-o-lok组差异有统计学意义(P<0.05);两组出血量、术后肠功能恢复时间、出院时间差异无统计学意义(P>0.05);荷包组术后并发症发生率为6.56%,Hem-o-lok组9.84%(χ2=0.435 7,P=0.509 2)。结论腹腔镜阑尾残端用两种方法处理均安全可靠,相比之下hem-o-lok双重结扎操作相对简单,手术时间短,适合多数有一定腹腔镜基础的普外科医生,而腹腔镜下盲肠壁作荷包缝合难度相对较大,需要术者熟练掌握腹腔镜技术。
Objective To compare the effects of laparoscopic appendectomy(LA)with two methods of ligating the appendix stump with silk suture and purse-string suture embedding and hem-o-lok double ligation.Methods A total of 122 patients with acute appendicitis from January 2016 to December 2017 were convenient enrolled.The patients were divided into a purse group of 61 cases and a hem-o-lok group of 61 cases.They were subjected to suture of the appendix stump and sutured with a purse embedding,hem-o-lok clipping treatment,compare the effect.Results The operation time and operation cost of the purse group were significantly different from those of the Hem-o-lok group(P<0.05).There was no significant difference in the amount of bleeding,postoperative intestinal function recovery time,and discharge time between the two groups(P >0.05).The incidence rate was 6.56%,and the Hem-o-lok group was 9.84%(χ^2=0.435 7,P=0.509 2).Conclusion Laparoscopic appendix stump is safe and reliable by two methods.Compared with hem-o-lok double ligation,the operation is relatively simple and the operation time is short.It is suitable for most general surgeons with certain laparoscopic basis,and short laparoscopic surgery.The lower cecum wall is relatively difficult to perform purse-stitching,and it is necessary for the surgeon to master the laparoscopic technique.
作者
陈飞
蒋继文
单国平
张良良
CHEN Fei;JIANG Ji-wen;SHAN Guo-ping;ZHANG Liang-liang(Department of General Surgery,Wujin People's Hospital,Changzhou,Jiangsu Province,213001 China)
出处
《中外医疗》
2019年第1期38-40,共3页
China & Foreign Medical Treatment
