小切口阑尾切除术病例选择及意义
小切口,,阑尾切除术;小切口;病例选择,1临床资料,2方法与结果,3讨论,4结论,参考文献:
摘要:目的:探讨小切口微创阑尾切除术的病例选择及意义。方法:收集300例术前诊断阑尾炎的病史及体征,术前拟定病例选择指征,预测阑尾解剖、病理情况及手术难易程度;符合选择指征的88例,施行小切口阑尾切除术;术前预测与手术中相符合程度进行动态观察。结果:术前符合预先所拟定条件者88例,手术证实此88例完全适合小切口手术。完全不符合预先所拟定条件者78例,手术证实此78例难以在小切口条件下完成手术。结论:实施小切口阑尾切除术应选择诊断明确、阑尾易于分类显露及腹腔感染不重的病例。这样可最大限度地降低手术风险,使病人能获得更多益处。关键词:阑尾切除术;小切口;病例选择
Selective Cases of Appendectomy via Small Incision and Clinical Significance
LIU Dao-sheng,HU Shu-fang
(Zunyi Hospital, Guizhou Zunyi 563000, China)
Abstract: Objective: To evaluate the selective cases of appendectomy via small incision. Method: Three hundred of patients with appendectomy were analysed. Results: There were 88 patients (29.3%) in keeping with the conditions of appendectomy via small incision.The conditions are as follows: ①Typical history and examination. ②The course of disease within 24 hours. ③Excepting differential common diseases. ④The abdominal signs are local in right lower area. ⑤The body are not fat. Subcutaneous fat<5cm. Conclusion: Performed appendectomy via small incision maybe decrease the risk of operation ,by which patients cure as well as possible. ......
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