小切口阑尾切除术治疗急性阑尾炎的临床疗效(1)
[摘要] 目的 研究分析急性阑尾炎患者采用小切口阑尾切除术治疗的临床价值。方法 方便选取2017年3月—2018年3月该院接收的急性阑尾炎患者112例，根据数字表原则，随机分为研究组和常规组，两组各56例，其中选择传统开腹手术治疗的患者，定义为常规组，选择小切口阑尾切除术的患者，定义为研究组，对两组治疗效果进行分析，并统计比较其术后并发症发生情况。结果 研究组并发症发生率为3.58%，常规组并发症发生率为16.07%，差异有统计学意义(χ2=4.939 7，P=0.026 2);研究组手术时间(32.06±3.39)min、术中平均出血量(63.94±7.23)mL以及术后住院时间(3.03±0.28)、下床活动时间(1.76±0.22)d，均要优于常规组手术治疗效果，差异有统计学意义(χ2=27.428 3、19.903 6、17.374 0、41.180 8，P=0.000 0、0.00 0、0.000 0、0.000 0)。结论 对急性阑尾炎患者采用小切口阑尾切除术，可以改善患者临床症状，加速患者康复时间，且并发症发生率较低，应用效果优异，值得推广。
[关键词] 小切口阑尾切除术;急性阑尾炎;临床效果;并发症;应用价值
[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742(2019)04(b)-0016-03
[Abstract] Objective To study the clinical value of small incision appendectomy in patients with acute appendicitis. Methods A total of 112 patients with acute appendicitis were convenient and enrolled in our hospital from March 2017 to March 2018. According to the principle of digital table， they were randomly divided into study group and routine group. 56 patients in each group， including patients who were treated with traditional open surgery， defined as the regular group， patients with small incision appendectomy， defined as the study group， the effect of the two groups of treatment analysis， and statistical comparison of postoperative complications. Results The complication rate of the study group was (3.58%)， and the complication rate of the routine group was (16.07%). The difference was statistically significant (χ2=4.939 7， P=0.026 2). The operation time of the study group was (32.06±3.39)min， the mean intraoperative blood loss (63.94±7.23)mL and postoperative hospital stay (3.03±0.28)d and time to get out of bed (1.76±0.22)d were better than those in the conventional group. The difference was statistically significant (χ2=27.428 3， 19.903 6， 17.734 0， 41.180 8， P=0.000 0， 0.000 0， 0.000 0， 0.000 0). Conclusion Small incision appendectomy for patients with acute appendicitis can improve the clinical symptoms of patients， accelerate the recovery time of patients， and the incidence of complications is low. The application effect is excellent and worth promoting.
[Key words] Small incision appendectomy; Acute appendicitis; Clinical effect; Complications; Application value
参考临床中针对急性阑尾炎患者治疗所提出的相关研究课题，发现相较于传统开腹手术治疗方案，小切口阑尾切除术对患者机体所造成的损伤较小，患者术后并发症风险较低[1]。在此，该院于2017年3月—2018年3月对112例急性阑尾炎患者，积极研究小切口阑尾切除术的临床价值，现报道如下。
1 资料与方法
1.1 一般资料
方便选取该院接收的急性阑尾炎患者112例，根据数字表原则，随机分为研究组和常规组，其中常规组56例，男性22例，女性34例，年龄21～74周岁，平均年龄(38.19±9.31)周岁;研究組56例，男性21例，女性35例，年龄22～73周岁，平均年龄(39.25±8.25)周岁，比较两组一般资料，差异无统计学意义(P>0.05)，有可比性。, 百拇医药(石金忠 管志涛)
[关键词] 小切口阑尾切除术;急性阑尾炎;临床效果;并发症;应用价值
[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742(2019)04(b)-0016-03
[Abstract] Objective To study the clinical value of small incision appendectomy in patients with acute appendicitis. Methods A total of 112 patients with acute appendicitis were convenient and enrolled in our hospital from March 2017 to March 2018. According to the principle of digital table， they were randomly divided into study group and routine group. 56 patients in each group， including patients who were treated with traditional open surgery， defined as the regular group， patients with small incision appendectomy， defined as the study group， the effect of the two groups of treatment analysis， and statistical comparison of postoperative complications. Results The complication rate of the study group was (3.58%)， and the complication rate of the routine group was (16.07%). The difference was statistically significant (χ2=4.939 7， P=0.026 2). The operation time of the study group was (32.06±3.39)min， the mean intraoperative blood loss (63.94±7.23)mL and postoperative hospital stay (3.03±0.28)d and time to get out of bed (1.76±0.22)d were better than those in the conventional group. The difference was statistically significant (χ2=27.428 3， 19.903 6， 17.734 0， 41.180 8， P=0.000 0， 0.000 0， 0.000 0， 0.000 0). Conclusion Small incision appendectomy for patients with acute appendicitis can improve the clinical symptoms of patients， accelerate the recovery time of patients， and the incidence of complications is low. The application effect is excellent and worth promoting.
[Key words] Small incision appendectomy; Acute appendicitis; Clinical effect; Complications; Application value
参考临床中针对急性阑尾炎患者治疗所提出的相关研究课题，发现相较于传统开腹手术治疗方案，小切口阑尾切除术对患者机体所造成的损伤较小，患者术后并发症风险较低[1]。在此，该院于2017年3月—2018年3月对112例急性阑尾炎患者，积极研究小切口阑尾切除术的临床价值，现报道如下。
1 资料与方法
1.1 一般资料
方便选取该院接收的急性阑尾炎患者112例，根据数字表原则，随机分为研究组和常规组，其中常规组56例，男性22例，女性34例，年龄21～74周岁，平均年龄(38.19±9.31)周岁;研究組56例，男性21例，女性35例，年龄22～73周岁，平均年龄(39.25±8.25)周岁，比较两组一般资料，差异无统计学意义(P>0.05)，有可比性。, 百拇医药(石金忠 管志涛)