CAJ | 학술논문

目的：评价经半月线切口在阑尾切除术中的临床应用效果。方法将2010年12月至2013年12月期间，在本院行432例阑尾切除术患者，随机分为半月线切口组(改良组)和右腹前外侧肌群切口组(传统组)，并对其疗效进行对比分析。结果改良组在手术时间、术后住院时间、切口感染率、术后疼痛程度等方面明显低于传统组( P<0.01)；而单纯性阑尾炎患者的术后切口感染率，两组差异不显著( P>0.01)。结论经半月线切口切除阑尾具有操作简单、安全、并发症少的优点，特别适用于肥胖患者、化脓性和坏疽性阑尾炎患者，临床疗效优于传统组。
목적：평개경반월선절구재란미절제술중적림상응용효과。방법장2010년12월지2013년12월기간，재본원행432례란미절제술환자，수궤분위반월선절구조(개량조)화우복전외측기군절구조(전통조)，병대기료효진행대비분석。결과개량조재수술시간、술후주원시간、절구감염솔、술후동통정도등방면명현저우전통조( P<0.01)；이단순성란미염환자적술후절구감염솔，량조차이불현저( P>0.01)。결론경반월선절구절제란미구유조작간단、안전、병발증소적우점，특별괄용우비반환자、화농성화배저성란미염환자，림상료효우우전통조。
Objective To evaluate the semilunar line incision in open appendectomy. Method 432 cases of appen-dectomy were adopted the semilunar line incision ( improved group) or abdominal anterolateral muscle incision ( tra-ditional group) respectively in random in Peking University Shougang Hospital during December in 2010 to Decem-ber in 2013, then we analysis its effect comparativley. Result The improved group was significantly less than the traditional group in the operation time, postoperative hospital stay, the infection rate of the wound, postoperative pain degree for the suppurative, gangrenous appendectomy (P<0. 01). It was no differences for the rates of the wound infection between the two groups in the simple appendicitis excision patients (P>0. 01). Conclusion This method is being simple to operate, safety, less complications through semilunar line incision. The clinical effect is especially better than the traditional group with the obese patients, suppurative and gangrenous appendicitis pa-tients.