摘要
目的分析改良缝合包埋法在高清腹腔镜下阑尾残端处理中的应用效果。方法队列研究。抽取2022年6月至2024年2月济源市人民医院急诊外科收治的42例阑尾炎患者,按照随机数字表法分为对照组和研究组,每组21例。对照组采用可吸收夹夹闭术中阑尾残端,研究组采用改良缝合包埋法处理术中阑尾残端。比较两组术中出血量、术后肛门排气时间、手术时间、住院时间,术前及术后3、7 d视觉模拟评分法(VAS)评分,术后切口感染、肠梗阻、腹腔残余感染发生情况。结果研究组患者手术时间[(51.65±2.14)min]长于对照组[(45.56±2.14)min],t=9.22,P<0.05,两组患者术中出血量、术后肛门排气时间、住院时间比较差异未见统计学意义(t=0.70、0.56、0.21,P>0.05)。术后3、7 d,两组VAS评分低于术前(P<0.05),但两组比较差异未见统计学意义(P>0.05)。两组切口感染、肠梗阻、腹腔残余感染发生率比较差异未见统计学意义(P>0.05)。结论改良缝合包埋法与可吸收夹夹闭在高清腹腔镜下阑尾残端处理中均可降低患者疼痛程度,安全性良好,相较于可吸收夹夹闭,改良缝合包埋法对操作者技术要求较高,手术时间较长。
Objective To analyze the effect of modified suture and embedding in high-definition laparoscopic appendix stump treatment.Methods A total of 42 patients with appendicitis admitted to Department of Emergency Surgery of Jiyuan People’s Hospital from June 2022 to February 2024 were selected for the cohort study.According to the random number table method,they were divided into the control group and the study group,with 21 cases in each group.Appendix stump in patients in the control group was clamped by absorbable clips during operation,while patients in the study group was treated by modified suture and embedding method during operation.The intraoperative blood loss,postoperative anal exhaust time,operation duration,hospital stay,preoperative,3-day postoperative and 7-day postoperative visual analogue scale(VAS)scores,postoperative incision infection,intestinal obstruction and abdominal residual infection of the two groups were compared.Results The operation duration in the study group was(51.65±2.14)min,longer than the(45.56±2.14)min]in the control group(t=9.22,P<0.05).There was no significant difference in intraoperative bleeding,postoperative anal exhaust time,and hospital stay between two groups(t=0.70,0.56,0.21;P>0.05).On the 3rd and 7th days after operation,the VAS scores of the two groups decreased(P<0.05),but there was no significant difference in the VAS scores between the two groups(P>0.05).There was no significant difference in the incidences of incision infection,intestinal obstruction and abdominal residual infection between the two groups(P>0.05).Conclusions The modified suture and embedding method and absorbable clip clamping in high-definition laparoscopic appendix stump treatment can reduce pain degree;they are both safe.Compared with absorbable clip clamping,the modified suture and embedding method requires higher operating level and longer operation duration.
作者
刘国林
行艳青
Liu Guolin;Xing Yanqing(Department of Emergency Surgery,Jiyuan People’s Hospital,Jiyuan 459003,China)
出处
《中国实用医刊》
2025年第8期22-25,共4页
Chinese Journal of Practical Medicine
关键词
阑尾炎
改良缝合包埋法
高清腹腔镜
残端处理
Appendicitis
Improved suture and embedding method
High-definition laparoscopy
Stump treatment
