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find Keyword "阑尾切除术" 26 results
  • Contrastive Study Between Laparoscopic Appendectomy and Open Appendectomy

    目的比较腹腔镜阑尾切除术(LA)与开腹阑尾切除术(OA)治疗急性阑尾炎的疗效和手术安全性。方法回顾性分析2010年7~12月期间的50例LA患者的临床资料,与同期55例施行OA的患者进行比较。结果LA组与OA组在手术时间及术中出血量方面差异均无统计学意义(Pgt;0.05); LA组术后肠功能恢复时间、下床活动时间及住院时间均明显短于OA组(Plt;0.05),LA组镇痛药使用率及术后并发症发生率明显少于OA组(Plt;0.05); 但住院费用LA 组高于OA组(Plt;0.05)。结论LA在治疗阑尾炎方面有明显优势,值得推广。

    Release date:2016-09-08 10:45 Export PDF Favorites Scan
  • Appendectomy Through Mini-Incision: Experience in 247 Cases

    目的通过对247例小切口阑尾切除术临床体会的总结,探讨以小切口作阑尾切除术的优点、手术适应证、禁忌证以及手术注意事项。方法对247例小切口阑尾切除术病例在手术要点、手术时间、切口长度、术后恢复情况、并发症等方面进行分析,结合文献资料加以总结。结果在手术中开腹、寻找阑尾及关腹均有其特定要求; 手术时间平均18 min,术后拆线及术后住院时间平均分别为4.8 d和4.6 d; 伤口愈合: 甲级235例,乙级9例,丙级2例。结论小切口阑尾切除术具有切口小、外观美、创伤小、恢复快以及经济节省、加快病床周转等诸多优点,是一个值得推广的手术。

    Release date:2016-08-28 04:20 Export PDF Favorites Scan
  • Experience in Complete Appendestectomy by Wedged Dissection of Seromuscular Layer (Report of 72 Cases)

    的报道楔形切开浆肌层的全阑尾切除术的临床应用体会。方法对72例根部肿胀增粗、坏疽穿孔合并盲肠壁增厚的急、慢性阑尾炎,从基底部楔形切开盲肠浆肌层,进行全阑尾切除术。结果该72例中无一例发生粪瘘、残端出血、残株炎及肠粘连等并发症。 结论合理应用从基底部楔形切开盲肠浆肌层的全阑尾切除术可有效预防根部肿胀增粗、坏疽穿孔的阑尾切除术后的粪瘘、残端出血、残株炎及肠粘连等并发症。

    Release date:2016-08-28 04:47 Export PDF Favorites Scan
  • 12岁以下小儿急性阑尾炎诊治体会

    Release date:2016-08-29 09:20 Export PDF Favorites Scan
  • Effect of Previous Abdominal Surgery on Appendectomy under Laparoscope for Acute Appendicitis

    【摘要】 目的 探讨腹部手术史对急性阑尾炎腹腔镜阑尾切除术(LA)的影响。 方法 2005年1月-2010年9月,将既往有腹部手术史并行LA的111例患者纳入观察组,同期随机抽取无腹部手术史行LA的220例患者纳入对照组。入选患者排除多次手术史、免疫功能低下、肝肾功能不全及血液病。比较两组中转开腹率、手术时间、术中出血量、术后并发症及住院时间的差异。 结果 两组均未出现术中并发症及死亡,两组患者的中转开腹率、手术时间、术中出血量、术后并发症及住院时间比较,差异均无统计学意义(Pgt;0.05)。 结论 即往腹部手术史对急性阑尾炎LA没有明显影响。【Abstract】 Objective To investigate the effect of previous abdominal surgery on appendectomy under laparoscope for acute appendicitis. Methods From January 2005 to September 2010, 111 patients with a history of abdominal surgery who had undergone laparoscopic appendectomy due to acute appendicitis were in the observe group and 220 patients selected randomly from the patients without a history of previous abdominal surgery who had undergone laparoscopic appendectomy were in the control group. The patients with a history of multiple operations, immunodeficiency, liver and kidney dysfunction, and hematopathy were excluded. The data were collected retrospectively and the differences of conversion rate, operative time, intraoperative blood loss, postoperative complications, and hospital staying were compared between the two groups. Results There were no death or intraoperative complications in both of the two groups. The differences in the conversion rate, operative time, intraoperative blood loss, postoperative complication rates, and hospital staying between the two groups were not significant (Pgt;0.05). Conclusion Previous abdominal surgery has no significant effect on laparoscopic appendectomy for acute appendicitis.

    Release date:2016-09-08 09:24 Export PDF Favorites Scan
  • Study on the Role of the Coated VICRYL Plus Antibacterial Suture in the Prevention of Infection of Appendectomy Incision

    摘要:目的: 探讨在阑尾切除术中应用抗菌薇乔缝线以减少阑尾切口感染的可能性。 方法 : 将我院2007年4月至2009年3月所有阑尾切除术病例1425例随机分为抗菌薇乔缝线组和丝线组,比较其切口感染发生率。 结果 : 统计中按阑尾未穿孔、阑尾穿孔以及总计分别计算切口感染率,在抗菌微乔线组感染率分别为017%、072%、028%,丝线组分别为154%、781%、267%,两组间分别予以X2检验,其〖WTBX〗P 值均小于001,具有显著性差异。 结论 : 缝线是辅助产生切口感染的一个危险因素,在阑尾切除术中使用抗菌薇乔缝线可以显著降低切口感染率。Abstract: Objective: To investigate the application of Coated VICRYL Plus Antibacterial suture in order to reduce the possibility of infection of appendectomy incision. Methods : Hospital from April 2007 to March 2009 appendectomy patients in all 1425 cases were randomly divided into Coated VICRYL Plus Antibacterial suture group and silk group,compared to the incidence of incision infection. Results : The statistics are not in accordance with perforated appendicitis, perforated appendicitis, as well as calculation of the total, respectively, incision infection, the infection rate in the Coated VICRYL Plus Antibacterial suture group were 017%, 072%, 028%, silk group were 154%, 781%, 267% between the two groups separately X2 test, the P value of less than 001, with a significant difference. Conclusion : The suture is to assist the incision produced a risk factor for infection in appendectomy,Coated VICRYL Plus Antibacterial suture can be used in a significant reduction in incision infection rates.

    Release date:2016-09-08 10:12 Export PDF Favorites Scan
  • 无辅助经脐单孔腹腔镜阑尾切除术首例报告

    摘要:目的:探讨国内首例真正意义上的无辅助经脐单孔腹腔镜阑尾切除术。方法: 首例青少年阑尾炎在外径10 mm带有5 mm器械操作孔道的腹腔镜观察后,采用脐部的单孔法行腹腔镜阑尾切除术。在腹腔镜下切断阑尾系膜,阑尾根部锁夹结扎。手术时间40 min,术后排气时间12 h,术后5天出院。切口一期愈合,无任何术后并发症,手术瘢痕不明显,美容效果好。结论:无辅助经脐单孔腹腔镜阑尾切除术具有术后效果好及良好的美容效果,在临床上值得继续应用。

    Release date:2016-09-08 10:12 Export PDF Favorites Scan
  • The Experience of Modified Single-Port Laparoscopic Appendectomy by Using Traditional Instrument in 52 Cases

    目的 探讨应用传统器械经脐行改良单孔腹腔镜阑尾切除术的临床价值。方法 回顾性分析笔者所在医院2010年1月至2012年2月期间行经脐单孔腹腔镜阑尾切除术的52例阑尾炎患者的临床资料,总结手术经验。结果 52例患者均顺利完成手术,平均手术时间为39.2min (18~70min),术后平均住院时间为5d (3~12d)。其中,45例患者成功完成经脐单孔腹腔镜阑尾切除术,2例中转开腹,2例行两孔LA术,3例行三孔LA术。术后2例患者发生切口感染。29例患者获访,随访时间4~18个月,平均12个月,无出血、切口疝、腹腔残余感染、粘连性肠梗阻、阑尾残端瘘等并发症发生。结论 应用传统器械经脐行改良单孔腹腔镜阑尾切除术简单、安全、可行、患者恢复快、并发症少、美容效果较好,但操作难度相对更高。应严格掌握手术适应证,必要时及时增加戳孔或中转开腹。

    Release date:2016-09-08 10:24 Export PDF Favorites Scan
  • The Feasibility of Traditionally Surgical Knotting Technique inLaparoscopic Appendectomy:Report of 64 Cases

    目的 探讨传统带线打结技术(不依赖现代高频电刀、超声刀、锁扣夹等器材)在腹腔镜阑尾切除术中的可行性。方法 回顾性分析2009年1月至2011年12月期间笔者所在医院科室应用传统带线打结技术行腹腔镜阑尾切除术的64例患者的临床资料。结果 除1例中转开腹外,其余患者均全部完成手术,无需特殊器材。手术时间20~90min (平均45min),术中出血10~25mL (平均15mL),术后6~24h (平均16h)下床活动,术后2~4d (平均3d) 拔除腹腔引流管,住院时间3~7d (平均5d),住院费用3 500~7 000元(平均4 362 元)。术后均无活动性出血、切口感染等并发症发生。术后患者均获访6~12个月 (平均9个月),均无肠梗阻、戳孔疝等并发症发生。结论 采用单纯传统带线打结技术行腹腔镜阑尾切除术安全、便捷,降低了医疗费用。

    Release date:2016-09-08 10:24 Export PDF Favorites Scan
  • Experience about Transumbilical Single-Port Laparoscopic Appendectomy by Using Traditional Instrument

    目的 总结经脐单切口腹腔镜阑尾切除术的技术要点。方法 回顾性分析2012年1月至12月期间中国医科大学附属第四医院收治并行经脐单切口腹腔镜阑尾切除术的55例阑尾炎患者的临床资料。结果 54例患者手术均获成功,1例患者因腹膜后阑尾而中转为3孔法。手术时间为(40.6±12.3) min (35~90min),住院时间为(4.5±1.3) d (3~6d),住院费用为(1.2±0.3)万元(0.8~1.5万元),术后均无并发症发生。术后49例患者获访,随访时间为1~6个月,平均4.8个月。术后患者均恢复良好,脐部瘢痕不明显,美容效果较满意。结论 采用通用器械行经脐单切口腹腔镜阑尾切除术安全、可行,美容效果较佳。

    Release date:2016-09-08 10:34 Export PDF Favorites Scan
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