【摘要】 目的:探讨用内镜下逆行阑尾炎治疗术治疗急性非复杂性阑尾炎的临床疗效。方法:随机抽选什邡第二医院在2015年1月至2016年6月期间收治的80例急性非复杂性阑尾炎患者作为本次研究的对象。采用随机数表法将其分为对照组和研究组(40例/组)。为对照组患者采用常规的腹腔镜阑尾切除术进行治疗,为研究组患者采用内镜下逆行阑尾炎治疗术进行治疗。然后比较两组患者手术的时间、术后下床活动的时间、住院的时间及其中术后24 h内白细胞恢复正常患者的比率、术后24 h内体温恢复正常患者的比率、术后12 h内VAS评分<3分患者的比率和术后并发症的发生率。结果:研究组患者手术的时间、术后下床活动的时间和住院的时间均短于对照组患者,P<0.05。研究组患者中术后24 h内白细胞恢复正常患者的比率、术后24 h内体温恢复正常患者的比率和术后12 h内VAS评分<3分患者的比率均高于对照组患者,P<0.05。研究组患者术后并发症的发生率低于对照组患者,P<0.05。结论:用内镜下逆行阑尾炎治疗术治疗急性非复杂性阑尾炎的临床疗效显著,具有术后患者恢复快、安全性高等优点。更多还原

【Abstract】 Objective: To explore the clinical efficacy of endoscopic retrograde appendicitis in the treatment of acute non-complicated appendicitis. Methods: 80 patients with acute non-complicated appendicitis admitted to shifang second hospital from January 2015 to June 2016 were randomly selected as the subjects of this study. It was divided into control group and research group(40 cases/group) by random number table method. Routine laparoscopic appendectomy was used for the control group, and retrograde appendicitis was used for the study group. Then compared two groups of patients with operation time, postoperative bed activity time, hospitalization time and with white blood cells back to normal within 24 h after the ratio, the ratio of patients with postoperative body temperature returned to normal within 24 h, 12 h after VAS score < 3 patients and the ratio of the incidence of postoperative complications. Results: the time of operation, postoperative time of getting out of bed and time of hospitalization were shorter in the study group than in the control group, P < 0.05. Team within 24 h after surgery in patients with the ratio of white blood cells back to normal patients, patients with postoperative body temperature returned to normal within 24 h ratios and postoperative VAS score < within 12 h ratio in 3 patients were higher than in the control group patients, P < 0.05). The incidence of postoperative complications in the study group was lower than that in the control group, P < 0.05. Conclusion: endoscopic retrograde appendicitis is effective in the treatment of acute non-complicated appendicitis.更多还原