[1]田海霞,李 庆,刘新奇,等.腹腔镜免系膜游离阑尾切除术在临床中的应用研究[J].陕西医学杂志,2022,51(7):852-855.[doi:DOI:10.3969/j.issn.1000-7377.2022.07.020]
 TIAN Haixia,LI Qing,LIU Xinqi,et al.Clinical application of laparoscopic free dissociate mesoappendix appendectomy[J].,2022,51(7):852-855.[doi:DOI:10.3969/j.issn.1000-7377.2022.07.020]
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腹腔镜免系膜游离阑尾切除术在临床中的应用研究
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
51
期数:
2022年7期
页码:
852-855
栏目:
临床研究
出版日期:
2022-07-05

文章信息/Info

Title:
Clinical application of laparoscopic free dissociate mesoappendix appendectomy
作者:
田海霞12李 庆1刘新奇1李文斌1张金强1张永旺1
(1.榆林市第一医院普通外科,陕西 榆林 718099; 2.榆林市子洲县人民医院,陕西 子洲718400)
Author(s):
TIAN HaixiaLI QingLIU XinqiLI WenbinZHANG JinqiangZHANG Yongwang
(Department of General Surgery,the First Hospital of Yulin,Yulin 718099,China)
关键词:
腹腔镜 阑尾切除术 免系膜游离 阑尾炎 圈套线技术
Keywords:
Laparoscope Appendectomy Free mesoappendix dissociation Appendicitis Circle set line technology
分类号:
R 656.8
DOI:
DOI:10.3969/j.issn.1000-7377.2022.07.020
文献标志码:
A
摘要:
目的:探讨腹腔镜下免系膜游离阑尾切除术治疗急性阑尾炎的临床应用效果。方法:收集138例行腹腔镜阑尾切除术患者的临床病例资料。根据阑尾切除术手术方式的不同,将患者分为免系膜游离组和常规手术组。比较两组患者术中及术后恢复情况。结果:免系膜游离组相较于常规手术组手术时间显著降低(25 min 与35 min,Z=-2.770,P=0.006)、出血量显著减少(15 ml 与 35 ml,Z=-7.018,P<0.001)、术后住院天数显著缩短(4 d 与6 d,Z=-2.134,P=0.033)、住院总花费显著降低(8920.0元 与10765.0元,t=-8.068,P<0.001)。结论:腹腔镜免阑尾系膜切除术相较于传统腹腔镜阑尾切除术具有手术时间短、出血量少、术后住院时间短、费用低廉等优点。
Abstract:
Objective:To investigate the clinical effect of laparoscopic free dissociate mesoappendix appendectomy for acute appendicitis.Methods:Clinical data of 138 patients undergoing laparoscopic appendectomy were collected.According to the different surgical methods of appendectomy,the patients were divided into the free mesoappendix dissociation group and the conventional operation group.The intraoperative and postoperative recovery were compared between the two groups.Results:Compared with the conventional operation group,the operation time of the free mesoappendix dissociation group was significantly reduced(25 minutes vs.35 minutes; Z=-2.770,P=0.006),the estimated blood loss was significantly reduced(15 ml vs.35 ml; Z=-7.018,P<0.001),the postoperative hospital stay was significantly shortened(4 days vs.6 days,Z=-2.134,P=0.033),and total hospitalization cost significantly decreased(8920.0 yuan vs.10765.0 yuan; t=-8.068,P<0.001).Conclusion:Compared with traditional laparoscopic appendectomy,laparoscopic free dissociate mesoappendix appendectomy has the advantages of shorter operation time,less blood loss,shorter postoperative hospital stay and lower cost.

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备注/Memo

备注/Memo:
基金项目:陕西省科技厅社会发展领域基金资助项目(2022SF-349)
更新日期/Last Update: 2022-07-05