摘要
目的 分析急性阑尾炎伴胆囊结石疾病中应用单孔微创手术治疗的价值。方法 非随机选取2019年5月—2022年5月滕州市中医医院(滕州市工人医院)外一科收治的50例急性阑尾炎伴胆囊结石疾病患者为研究对象,根据不同手术方式将其分为单孔操作组(25例)与三孔操作组(25例),对比两组的手术情况、住院情况、疼痛评分、实验室指标、手术安全性。结果 单孔操作组的手术时间较三孔操作组更长,住院情况和疼痛评分均优于三孔操作组,差异有统计学意义(P均<0.05)。两组的术中出血量和各实验室指标对比,差异无统计学意义(P均>0.05)。单孔操作组的并发症发生率为0,低于三孔操作组的24.00%,差异有统计学意义(χ^(2)=4.735,P<0.05)。结论 急性阑尾炎伴胆囊结石疾病诊断中应用不同微创手术方法效果差异较大,其中单孔方式操作更加复杂,但患者预后效果好,疼痛感轻。
Objective To analyze the value of single-hole minimally invasive surgery in the treatment of acute appendicitis with gallstone disease.Methods A total of 50 patients with acute appendicitis combined with gallstone disease in Department of Surgery I of Tengzhou Hospital of Traditional Chinese Medicine(Tengzhou Workers' Hospital) from May 2019 to May 2022 were non-randomly selected as study objects,and were divided into a single-hole operation group(25 cases) and a three-hole operation group(25 cases) by different surgical methods.The operation,hospitalization,pain score,laboratory index,and surgical safety were compared between two groups.Results The operation time of the single-hole operation group was longer than that of the three-hole operation group,and the hospitalization and pain scores were better than those of the three-hole operation group,the differences were statistical significance(all P<0.05).There was no significant difference in intraoperative blood loss and laboratory indexes between the two groups(all P>0.05).The complication rate of the single-hole operation group was 0,which was lower than 24.00% of the three-hole operation group,and the difference was statistically significant(χ^(2)=4.735,P<0.05).Conclusion The results of different minimally invasive surgical methods in the diagnosis of acute appendicitis with gallstone disease vary greatly,among which the single-hole operation is more complicated,but the prognosis of patients is better,the pain is light.
作者
张玉河
杨列清
ZHANG Yuhe;YANG Lieqing(Department of Surgery I,Tengzhou Hospital of Traditional Chinese Medicine(Tengzhou Workers'Hospital),Tengzhou 277500,Shandong,China)
出处
《系统医学》
2024年第12期108-111,共4页
Systems Medicine
关键词
急性阑尾炎
胆囊结石
微创手术
单孔操作
三孔操作
Acute appendicitis
Gallstones
Minimally invasive invasive surgery
Single-hole operation
Three-hole operation
