摘要
目的评价经麦氏点皮纹横切口切除阑尾的可行性和临床应用效果。方法对1038例采用右下腹切口行阑尾切除术病人,随机分为采用经麦氏点皮纹横切口(横切口组438例)或常规麦氏切口(麦氏切口组600例)行阑尾切除术,并对其疗效进行对比分析。结果横切口组其手术时间、术后疼痛程度、下床活动时间、肛门排气时间、术后住院时间、切口感染率等方面均明显优于麦氏切口组(P<0.01或P<0.05)。结论右下腹切口开腹阑尾切除术,经麦氏点皮纹横切口阑尾切除具有美观、安全、并发症少,以及创伤小、疼痛轻、恢复快、住院时间短等优点,值得推广。
Objective To evaluate the feasilibility and clinical efficacy of appendectomy with transverse incision by McBurney＇s point. Methods 1038 patients undergone appendectomy by down-right abdominal Mc Burney＇s point incision were randomizedly divided into two groups according to their operation incision： transverse incision group （ n = 438） and conventional McBurney incision group （ n = 600）. To compare of the curative results between these two groups. Results The operation duration, the time of discharge hospital, usage times of sedative, the time of off- bed ambulation and exhaust after operation, incision infection rate of transverse incision group were less than those of conventional Mc Burney incision group （ P〈0.01 or P〈0.05）. Conclusion Transverse incision appendectomy by McBurney＇s point has advantages of fine incisions, safety, less complication, mini- invasiveness, less pain, rapid recovery and short duration of hospitalization, and so is feasible and worth of popularizing in the hospital at all grades.
出处
《右江民族医学院学报》
2009年第6期961-963,共3页
Journal of Youjiang Medical University for Nationalities
关键词
阑尾炎
阑尾切除术
横切口
麦氏切口
对比研究
appendicitis
appendectomy
transverse incision
McBurney＇ s incision
comparative study
