摘要
目的对比腹腔镜与开腹手术治疗成人急性阑尾炎的临床效果。方法选取2017年5月—2018年5月在内蒙古民族大学附属医院行手术治疗的急性阑尾炎患者100例并随机分为对照组和试验组,每组50例。对照组患者行开腹手术,试验组患者行腹腔镜手术。比较两组患者手术时间、术中出血量、住院时间、治疗有效率及术后血清肿瘤坏死因子α(TNF-α)和C反应蛋白(CRP)水平。结果试验组患者手术时间及住院时间短于对照组,术中出血量及术后血清TNF-α和CRP水平低于对照组,治疗有效率〔96.0%(48/50)〕高于对照组〔76.0%(38/50)〕。结论与开腹手术相比,腹腔镜手术有利于提高成人急性阑尾炎患者治疗有效率,缩短手术时间及住院时间,减少术中出血量,降低术后血清TNF-α和CRP水平。
Objective To compare the clinical effect between laparoscopic surgery and laparotomy on acute appendicitis in adults.Methods A total of 100 acute appendicitis patients underwent appendectomy were selected in Affiliated Hospital of Inner Mongolia University for Nationalities from May 2017 to May 2018,and randomly divided into control group and test group,with 50 cases in each group.Patients in control underwent laparotomy,while patients in test group underwent laparoscopic surgery.Time of operation,intraoperative amount of bleeding,hospital stays,response rate,as well as postoperative serum levels of TNF-αand CRP were compared between the two groups.Results Compared to control group,test group showed shorter time of operation and hospital stays,lower intraoperative amount of bleeding and postoperative serum levels of TNF-αand CRP,but higher response rate(P<0.05).Conclusion Compared to laparotomy,laparoscopic surgery is helpful to improve the response rate in adults with acute appendicitis,shorten the time of operation and hospital stays,lower the intraoperative amount of bleeding and postoperative serum levels of TNF-αand CRP.
作者
杨雨民
刘丹
周金
张晓辉
王模日根
YANG Yumin;LIU Dan;ZHOU Jin;ZHANG Xiaohui;WANGMO Rigen(Affiliated Hospital of Inner Mongolia University for Nationalities,Tongliao 028000,China)
出处
《中国全科医学》
CAS
北大核心
2021年第S01期146-147,共2页
Chinese General Practice
作者简介
通信作者:王模日根,主治医师,E-mail:yym4852@163.com
