摘要
目的:探讨腹腔镜阑尾切除术阑尾根部3种处理方法的临床效果。方法:收治行腹腔镜阑尾切除术患者90例,随机分成3组,各30例,在进行阑尾根部处理时,A组采取Hem-o-lok夹闭方法,B组采取丝线结扎法,C组采取Endoloop套扎方法,比较3组的治疗效果。结果:3组的并发症发生率及住院时间的差异不存在统计学意义(P>0.05);3组手术时间的差异存在统计学意义(P<0.05)。结论:对行腹腔镜阑尾切除术患者选用何种阑尾根部处理方法,应结合患者阑尾根部水肿、患者的经济状况以及操作者腹腔镜下操作的熟练程度等因素来综合考虑。
Objective:To explore the clinical effect of 3 processing methods for appendix root in laparoscopic appendectomy.Methods:90 patients with laparoscopic appendectomy were selected.They were randomly divided into 3 groups with 30 cases in each.In the treatment of appendix root,the A group was given Hem-o-lok clamp method;the B group was given silk thread ligation;the C group was given Endoloop ligation method.We compared the therapeutic effect of the 3 groups.Results:There was no significant difference in the incidence of complications and length of hospital stay of the three groups(P>0.05).There were significant differences in operation time among the 3 groups(P<0.05).Conclusion:We should chose the right processing method for appendix root in laparoscopic appendectomy according to the edema of appendix root,economic status of patients and the level of proficiency of operator for laparoscope.
作者
郑力
Zheng Li(Surgery,the First People's Hospital of Dongcheng District 100075)
出处
《中国社区医师》
2016年第4期35-35,37,共2页
Chinese Community Doctors
