摘要
目的探讨内镜下逆行阑尾炎治疗术(ERAT)治疗急性阑尾炎的效果。方法回顾性分析2017年1月~2019年1月我院收治的62例急性阑尾炎患者的临床资料,根据治疗方法不同分为ERAT组(32例)及对照组(30例),对照组行常规腹腔镜阑尾切除术,ERAT组行内镜下逆行阑尾炎治疗术,比较两组手术、治疗情况及复发情况。结果两组均手术治疗成功,ERAT组平均手术时间、平均住院天数、术后持续卧床时间、术后白细胞恢复正常时间、术后体温恢复正常时间短于对照组,差异有统计学意义(P<0.05)。术后两组患者均未发生严重并发症,随访6个月后,ERAT组有1例患者于术后第137天复发,转外科行腹腔镜阑尾切除术,其余31例无复发,对照组无复发病例。结论内镜下逆行阑尾炎治疗术治疗急性阑尾炎安全有效,可缩短手术时间、住院天数及持续卧床时间,促进术后白细胞恢复正常及术后体温恢复正常。
Objective To investigate the effect of endoscopic retrograde appendicitis treatment(ERAT)on acute appendicitis.Methods The clinical data of 62 patients with acute appendicitis admitted in our hospital from January 2017 to January 2019 were retrospectively divided into ERAT group(32 cases)and control group(30 cases)according to different treatment methods.For laparoscopic appendectomy,the ERAT group underwent endoscopic retrograde appendicitis treatment,and compared the operation,treatment,and recurrence of the two groups.Results Surgical treatment was successful in both groups.The average operation time,average hospital stay,postoperative bed rest time,postoperative white blood cell recovery time,and postoperative body temperature recovery time in the ERAT group were shorter than those in the control group,the difference was statistically significant(P<0.05).No serious complications occurred in the two groups of patients after the operation.After 6 months of follow-up,1 patient in the ERAT group relapsed on the 137th day after surgery and was transferred to surgery for laparoscopic appendectomy.The remaining 31 patients had no recurrence,there was no recurrence in the control group.Conclusion Endoscopic retrograde appendicitis treatment is safe and effective for the treatment of acute appendicitis,which can shorten the operation time,hospitalization days and stay in bed time,and promote the recovery of postoperative white blood cells to normal and postoperative body temperature to normal.
作者
郑东林
陈远能
袁海锋
农长深
黄徽徽
岑瑜
ZHENG Dong-lin;CHEN Yuan-neng;YUANG Hai-feng;NONG Chang-shen;HUANG Hui-hui;CEN Yu(Department of Gastroenterology,Ruikang Hospital,Guangxi University of Traditional Chinese Medicine,Nanning 530011,Guangxi,China)
出处
《医学信息》
2020年第14期110-112,共3页
Journal of Medical Information
关键词
急性阑尾炎
结肠镜
内镜下逆行阑尾炎治疗术
Acute appendicitis
Colonoscopy
Endoscopic retrograde appendicitis treatment
