临床普外科电子杂志 ›› 2021, Vol. 9 ›› Issue (1): 31-.

• • 上一篇    

内镜下逆行阑尾炎治疗术疗效及安全性评估

  

  1. 佛山市妇幼保健院 外科,广东 佛山 528011
  • 出版日期:2021-01-01 发布日期:2021-05-07

Endoscopic retrograde appendicitis treatment for acute uncomplicated appendicitis: therapeutic effect and safety evaluation

  1. Surgery Department of Foshan Women and Children Hospital, Foshan 528011, Guangdong
  • Online:2021-01-01 Published:2021-05-07

摘要: 摘要:目的 分析内镜下逆行阑尾炎治疗术对急性非复杂性阑尾炎的治疗效果及安全性评估。方法 选取2018 年7 月至2020 年5 月佛山市妇幼保健院收治的80 例急性非复杂性阑尾炎患者,按治疗方式的不同将其分为常规组(腹腔镜阑尾切除术)和研究组(内镜下逆行阑尾炎治疗术),每组40 例。比较两组患者治疗前后的血清肿瘤坏死因子(tumor necrosis factor,TNF)-α、C 反应蛋白(C-reactive protein,CRP)、白介素(interleukin,IL)-6 水平,以及卧床时间、住院时间、手术时间、并发症发生率。结果 治疗前,两组患者的TNF-α、CRP、IL-6 水平差异无显著性(P>0.05)。治疗后,研究组患者的TNF-α、CRP、IL-6 水平均低于常规组(P<0.05);研究组的卧床时间、住院时间、手术时间均短于常规组(P<0.05);研究组的并发症发生率为2.50%,更低于常规组的15.00%(P<0.05)。结论 采用内镜下逆行阑尾炎治疗术治疗急性非复杂性阑尾炎,创伤小,可减少手术应激反应,有利于患者术后快速恢复,安全性好。

Abstract: Abstract: Objective To analyze the efficacy and safety of endoscopic retrograde appendicitis treatment for acute uncomplicated appendicitis. Methods The subjects of this study were 80 patients with acute uncomplicated appendicitis admitted to Foshan Women and Children Hospital from July 2018 to May 2020. They were divided into conventional groups (laparoscopic appendectomy) according to different treatment methods. Study group (retrograde endoscopic appendicitis treatment), 40 cases in
each group. Compare the levels of serum tumor necrosis factor (TNF-α), C-reactive protein (CRP), and interleukin (IL) -6 before and after treatment in the two groups, as well as the time in bed, hospitalization time, operation time, and incidence of complications , To explore the efficacy and safety of endoscopic retrograde appendicitis treatment. Results Before treatment, the levels of TNF-α, CRP and IL-6 of the two groups were not statistically different (P>0.05). After treatment, the levels of TNF-α, CRP,
and IL-6 in the study group were lower than those in the conventional group (P<0.05); the bed time, hospital stay, and operation time of the study group were shorter than those in the conventional group (P<0.05); The complication rate of the group was 2.50%, which was lower than that of the conventional group (15.00%,P<0.05). Conclusion The use of endoscopic retrograde appendicitis treatment for acute uncomplicated appendicitis is less invasive, can reduce surgical stress response, is very conducive to the rapid recovery of patients after surgery, and has good safety.