| 宋恩东,方寅.单孔腹腔镜与三孔腹腔镜阑尾切除术疗效的临床分析[J].安徽医药,2021,25(4):730-732. |
| 单孔腹腔镜与三孔腹腔镜阑尾切除术疗效的临床分析 |
| A clinical analysis of the effects of single-port laparoscopic appendectomy and three-port laparoscopic appendectomy |
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| DOI：10.3969/j.issn.1009-6469.2021.04.023 |
| 中文关键词: 阑尾切除术 阑尾炎 腹腔镜检查 |
| 英文关键词: Appendectomy Appendicitis Laparoscopy |
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| 摘要点击次数: 1289 |
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| 中文摘要: |
| 目的通过比较单孔腹腔镜阑尾切除术与三孔腹腔镜阑尾切除术在治疗急性阑尾炎方面的疗效，研究单孔腹腔镜阑尾切除术的实用性、安全性以及有效性。方法回顾性分析 2017年 1月至 2018年 6月在芜湖市第一人民医院行腹腔镜阑尾切除术的 101例病人的临床资料，其中单孔腹腔镜阑尾切除术 39例，三孔腹腔镜阑尾切除术 62例，手术均为同一位医生完成。对两种手术方式的手术时间、术中出血量、术后并发症、术后排气时间、术后止痛药使用次数、住院时间及住院费用的数据进行分析。结果单孔腹腔镜阑尾切除术组手术时间(58.10±2.33)min长于三孔腹腔镜阑尾切除术组手术时间(53.06±2.15)min，但两者之间差异无统计学意义(P>0.05)；单孔腹腔镜阑尾切除术组术中出血量(12.23±1.34)mL少于三孔腹腔镜阑尾切除术组术中出血量(14.35±0.86)ml，两者差异无统计学意义(P>0.05)；单孔腹腔镜阑尾切除术组术后排气时间(16.72±0.58)h优于三孔腹腔镜阑尾切除术组(19.42±0.47)h(P<0.05)；两组术后使用止痛药次数无明显差异(P>0.05)；单孔腹腔镜阑尾切除术组住院时间(4.74±0.21)d及住院费用(10699±158)元均低于三孔腹腔镜阑尾切除术组(5.65±0.20)d、(11253±104)元，差异有统计学意义(P<0.05)；两种手术方式的术后并发症差异无统计学意义(P>0.05)。结论与三孔腹腔镜阑尾切除术一样，单孔腹腔镜阑尾切除术是安全可靠的，并且可以缩短住院时间以及降低住院费用，有推广的意义。 |
| 英文摘要: |
| Objective To compare the clinical efficacies of single-port laparoscopic appendectomy and three-port laparoscopic appendectomy in the treatment of acute appendicitis, and to explore the practicality, safety and effectiveness of single-port laparoscopic appendectomy.Methods The clinical data of 101 patients undergoing laparoscopic appendectomy in Wuhu No.1 People's Hospitalfrom January 2017 to June 2018 were retrospectively analyzed, including 39 cases of single-port laparoscopic appendectomy and 62 cases of three-port laparoscopic appendectomy, all performed by the same surgeon. The data of operation time, intraoperative bloodloss, postoperative complications, postoperative exhaust time, the number of postoperative analgesics use, length of hospital stay andhospitalization expenses were analyzed.Results The operation time of single-port laparoscopic appendectomy was longer than that of three-port laparoscopic appendectomy [(58.10±2.33) min vs (53.06±2.15) min], but there was no significantly statistical difference (P> 0.05). The intraoperative blood loss of single-port laparoscopic appendectomy was less than that of three-port laparoscopic appendectomy [(12.23±1.34) mL vs (14.35±0.86) mL], but there was no significantly statistical difference (P>0.05). The postoperative exhaust time of single-port laparoscopic appendectomy was superior to that of three-port laparoscopic appendectomy [(16.72±0.58) h vs (19.42±0.47) h; P<0.05]. There was no significant difference in the number of postoperative analgesics use between the two groups (P>0.05). The length of hospital stay and hospitalization expenses of single-port laparoscopic appendectomy were less than those of three-port laparoscopic appendectomy [(4.74±0.21) d vs (5.65±0.20) d; (10699±158) yuan vs (11253±104) yuan], and the difference was statistically significant (P<0.05). There was no significant difference in postoperative complications between the two groups (P>0.05).Conclusion Consistent with three-port laparoscopic appendectomy, single-port laparoscopic appendectomy is safe and reliable, and can shorten thelength of hospital stay and reduce hospitalization expenses, which is worthy of promotion. |
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