三孔与单孔腹腔镜切除术式治疗急性阑尾炎合并胆囊结石的疗效对比

发布时间：2018-03-20 01:39

本文选题：腹腔镜　切入点：单孔　出处：《中国内镜杂志》2017年01期 　论文类型：期刊论文

【摘要】：目的探讨三孔与单孔腹腔镜胆囊阑尾联合切除术式治疗急性阑尾炎合并胆囊结石临床疗效差异。方法研究对象选取该院及临汾市人民医院2012年8月-2015年8月收治急性阑尾炎合并胆囊结石患者共110例,以随机抽签法分为对照组(55例)和观察组(55例),分别采用三孔和单孔腹腔镜下胆囊阑尾联合切除术式治疗;比较两组患者手术相关临床指标、Brown手术满意度评分、手术前后抑郁焦虑视觉模拟评分法(VAS)及术后并发症发生率等。结果观察组患者切口长度明显短于对照组(P0.05);观察组患者手术操作用时则明显长于对照组(P0.05);观察组患者术后抑郁焦虑VAS评分均明显低于对照组、治疗前(P0.05);同时两组患者术后并发症发生率比较差异无统计学意义(P0.05)。结论相较于三孔腹腔镜术式,单孔腹腔镜胆囊阑尾微创联合切除治疗急性阑尾炎合并胆囊结石可有效缩短切口长度,改善手术美观性和术后负面情绪,且未导致术后并发症风险上升。
[Abstract]:Objective to explore the clinical efficacy of laparoscopic appendectomy for acute appendicitis complicated with cholecystolithiasis. Methods the patients were selected from this hospital and Linfen people's Hospital from August 2012 to August 2015. There were 110 cases of acute appendicitis complicated with gallstone. The control group (55 cases) and the observation group (55 cases) were divided into three holes and one hole laparoscopic cholecystectomy combined with appendectomy. Results the incision length of the patients in the observation group was significantly shorter than that in the control group, and the operative time of the patients in the observation group was longer than that in the control group. The VAS scores of depression and anxiety were significantly lower than those of the control group. At the same time, there was no significant difference in the incidence of postoperative complications between the two groups. Conclusion compared with the three-hole laparoscopic operation, there was no significant difference in the incidence of postoperative complications between the two groups. Single hole laparoscopy combined with minimally invasive cholecystectomy for acute appendicitis with cholecystolithiasis can effectively shorten the length of incision, improve the aesthetic performance and negative emotion after operation, and does not lead to an increase in the risk of postoperative complications.
【作者单位】：浙江省苍南县人民医院普外科;山西临汾市人民医院普外科;
【分类号】：R656.8;R657.42

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