CAJ | 학술논문

目的：探讨术前即刻超声定位在小切口阑尾切除术中的应用价值。方法选择80例经B超检查已明确诊断为急性阑尾炎患者，按数字表法随机分为观察组、对照组，每组40例。观察组在B超检查时于腹壁相应体表投影位置标记阑尾根部，并在麻醉后术前再次标记，根据麻醉后标记的阑尾根部设计2～2．5 cm微小切口，测量前后定位距离。对照组不采用B超定位，微小切口经麦氏点或近压痛点。比较两组手术时间、术中出血量、排气时间、术后住院时间、并发症等。结果超声前后定位距离相差（1．9±0．6） cm，术前即刻超声定位阑尾与术中探查结果相符，且术前超声定位观察组平均手术时间优于未予超声定位的对照组（P＜0．05），两组术中出血量、排气时间、术后住院时间、并发症等差异均无统计学意义（均P＞0．05）。结论术前即刻超声定位能更准确反映阑尾位置，有利术者在小切口阑尾切除术中快速找到阑尾，缩短手术时间。
목적：탐토술전즉각초성정위재소절구란미절제술중적응용개치。방법선택80례경B초검사이명학진단위급성란미염환자，안수자표법수궤분위관찰조、대조조，매조40례。관찰조재B초검사시우복벽상응체표투영위치표기란미근부，병재마취후술전재차표기，근거마취후표기적란미근부설계2～2．5 cm미소절구，측량전후정위거리。대조조불채용B초정위，미소절구경맥씨점혹근압통점。비교량조수술시간、술중출혈량、배기시간、술후주원시간、병발증등。결과초성전후정위거리상차（1．9±0．6） cm，술전즉각초성정위란미여술중탐사결과상부，차술전초성정위관찰조평균수술시간우우미여초성정위적대조조（P＜0．05），량조술중출혈량、배기시간、술후주원시간、병발증등차이균무통계학의의（균P＞0．05）。결론술전즉각초성정위능경준학반영란미위치，유리술자재소절구란미절제술중쾌속조도란미，축단수술시간。
Objective To investigate the value of ultrasound locates the appendectomy and guide appendec -tomy incision in small incision appendectomy .Methods According to the digital table ,80 patients with acute appen-dicitis diagnosed by B ultrasound examination , were randomly divided into the observation group , and the control group.Each of the group has 40 cases and use small incision appendectomy .In the observation group , mark corre-sponding appendix root in the abdominal wall surface when use B ultrasound examination ,and mark again in anesthe-sia before surgery.Design of a 2~2.5cm minimal incision according to appendix after anesthesia marker ,distance measurement before and after .The control group did not use B ultrasound localization ,minimal incision by McBurney point or near tenderness point .Between the two groups in operation time ,bleeding volume ,postoperative exhaust time , hospitalization time,complications.Results Ultrasound before and after positioning distance was (1.9 ±0.6)cm,and the preoperative immediate ultrasound localization of appendix and intraoperative exploration results ,and preoperative ultrasound localization in observation group ,the average operation time was better than no ultrasound localization of group(P<0.05).The amount of bleeding volume,postoperative exhaust time,hospitalization time,complications had no obvious difference .Conclusion Preoperative immediate ultrasound can more accurately reflect the position of ap-pendix ,favorable operation in small incision appendectomy is quickly ,shorten the operation time .