摘要
目的分析电凝钩联合丝线结扎法处理阑尾系膜及残端在腹腔镜阑尾切除术中的效果、安全性及经济性。方法选取2016年1月~2019年12月我院收治的300例急、慢性阑尾炎患者作为研究对象,采用随机数字表法将其分为治疗组(150例)和对照组(150例)。治疗组患者采用电凝钩联合丝线结扎法处理阑尾系膜及残端的腹腔镜阑尾切除术式,对照组患者采用超声刀离断阑尾系膜并采用Hem-o-lok夹闭或一次性套扎线套扎处理阑尾残端的腹腔镜阑尾切除术式。比较两组患者的各项手术指标及术后并发症发生情况。结果治疗组患者的手术时间长于对照组,住院费用低于对照组,差异均有统计学意义(P<0.05);两组患者的术中出血量、住院时间及术后并发症总发生率比较,差异无统计学意义(P>0.05)。结论电凝钩联合丝线结扎法处理阑尾系膜及残端对比超声刀离断阑尾系膜并Hem-o-lok夹闭或一次性套扎线套扎处理阑尾残端在腹腔镜阑尾切除术的应用均具有效果确切、安全的优势。但前者更兼具费用成本低的优势,值得临床广泛推广尤其在基层医院推广应用。
Objective To analyze the effect,safety and economy of electrocoagulation hook combined with thread ligation to treat mesangial appendix and stump in laparoscopic appendectomy.Methods A total of 300 patients with acute and chronic appendicitis from January 2016 to December 2019 in our hospital were selected as the research objects.They were divided into the treatment group(150 cases)and the control group(150 cases)by using random number table method.The laparoscopic appendectomy surgery for appendix mesentery and stump was carried out in the treatment group by electrocoagulation hook combined with thread ligation.While in the control group,the mesenteric appendage was cut off by ultrasonic scalpel with Hem-o-lok clip or disposable wire ligation laparoscopic appendectomy surgery for appendage stumps.The various surgical indexes and incidence of postoperative complications were compared between the two groups.Results The operation time of the treatment group was longer than that of the control group,and the cost of hospitalization was lower than that of the control group,and the differences were statistically significant(P<0.05).There were no statistically significant differences in the intraoperative blood loss,length of hospitalized and total incidence of postoperative complications between the two groups(P>0.05).Conclusion During the treatment of electrocoagulation hook combined with thread ligation for appendix mesentery and stump compared with ultrasonic scalpel to remove the appendix mesentery with Hem-o-lok clip or disposable ligation laparoscopic appendectomy,the application of the two resections has advantages of definite curative effect and safety.However,the former has better advantage of low cost,which is worthy of wide use in clinical promotion,especially in primary hospitals.
作者
吴桂健
钟明成
邱国煌
WU Gui-jian;ZHONG Ming-cheng;QIU Guo-huang(Department of General Surgery,the First People′s Hospital of Nankang District in Ganzhou City,Jiangxi Province,Ganzhou341400,China)
出处
《中国当代医药》
2020年第28期117-120,共4页
China Modern Medicine
关键词
电凝钩
丝线结扎法
阑尾切除术
腹腔镜检查
Electrocoagulation hook
Thread ligation
Appendectomy
Laparoscopy
