CAJ | 학술논문

目的：探讨腹腔镜阑尾切除术中单纯应用丝线结扎阑尾残端的疗效及价值。方法回顾分析为180例阑尾炎患者行腹腔镜阑尾切除术的临床资料。结果本组180例患者均顺利完成手术，所有患者术前均未留置导尿管，术后2~5 d出院，平均住院(3.4±1.5) d。术后患者体内无金属及塑料夹残留，术中未使用超声刀及生物夹。结论在腹腔镜阑尾切除术中应用单纯线扎法处理阑尾残端，效果确切可靠，体内无金属及塑料夹植入，减少了病人经济负担，在县级医院基层医院具备推广价值。
목적：탐토복강경란미절제술중단순응용사선결찰란미잔단적료효급개치。방법회고분석위180례란미염환자행복강경란미절제술적림상자료。결과본조180례환자균순리완성수술，소유환자술전균미류치도뇨관，술후2~5 d출원，평균주원(3.4±1.5) d。술후환자체내무금속급소료협잔류，술중미사용초성도급생물협。결론재복강경란미절제술중응용단순선찰법처리란미잔단，효과학절가고，체내무금속급소료협식입，감소료병인경제부담，재현급의원기층의원구비추엄개치。
Objective To investigate the effect and clinical value of the treatment that appendix stump is ligated with only silk in laparoscopic appendectomy. Methods A retrospective analysis of clinical data of 180 patients was made, who underwent appendicitis laparoscopic appendectomy. Results These operations were successfully completed. All patients had no indwelling catheter before the operations and discharged from hospital 2 ~ 5 days after the operations, and the average hospital stay was 3. 4±1. 5 days. Postoperative patients had no metal or plastic clip in their bodies. Ultrasonic scalpel or biological clamps were not used in the operations. Conclu-sion The curative effect of the treatment that appendix stump is ligated with only silk in laparoscopic appendectomy is precise and reli-able without any metal or plastic clip in the patient’ s body, which reduces the economic burden of the patients. This treatment has popularizing value in the county hospital and the substrate hospital.