CAJ | 학술논문

目的探讨阑尾圈套器的临床应用价值.方法回顾性分析2011年1月至2012年6月重庆市第九人民医院收治的50例阑尾炎患者的临床资料.探讨通过阑尾圈套器丝线悬吊的方法行二孔法腹腔镜阑尾切除术并分析其临床疗效.采用门诊和电话进行随访,随访时间截至2012年12月.结果 50例患者手术获得成功,其中1例穿孔性阑尾炎腹膜外位,暴露不清,采用三孔法完成手术.手术时间(不包含麻醉前后及准备器械时间)为(35±4)min(25～75 min),术中出血量为5～8 mL,患者术后肛门排气时间为(10.0± 1.6)h(6.0 ～20.0 h).术后无肠瘘、切口感染、腹腔脓肿等近期并发症发生.术后切口微创美观.术后病理检查示急性化脓性阑尾炎27例、穿孔性阑尾炎13例、急性单纯性阑尾炎10例.全组患者获得随访(门诊随访17例、电话随访33例),术后平均随访时间为10个月(6～18个月),未发生戳孔疝、粘连性肠梗阻等远期并发症.结论阑尾圈套器制作简单、经济实用,是一种简单易行的方法.
목적 탐토란미권투기적림상응용개치.방법 회고성분석2011년1월지2012년6월중경시제구인민의원수치적50례란미염환자적림상자료.탐토통과란미권투기사선현조적방법행이공법복강경란미절제술병분석기림상료효.채용문진화전화진행수방,수방시간절지2012년12월.결과 50례환자수술획득성공,기중1례천공성란미염복막외위,폭로불청,채용삼공법완성수술.수술시간(불포함마취전후급준비기계시간)위(35±4)min(25～75 min),술중출혈량위5～8 mL,환자술후항문배기시간위(10.0± 1.6)h(6.0 ～20.0 h).술후무장루、절구감염、복강농종등근기병발증발생.술후절구미창미관.술후병리검사시급성화농성란미염27례、천공성란미염13례、급성단순성란미염10례.전조환자획득수방(문진수방17례、전화수방33례),술후평균수방시간위10개월(6～18개월),미발생착공산、점련성장경조등원기병발증.결론 란미권투기제작간단、경제실용,시일충간단역행적방법.
Objective To investigate the value of a needle loop retractor in the appendectomy.Methods The clinical data of 50 patients with appendicitis who were admitted to the Chongqing Ninth People's Hospital from January 2011 to June 2012 were retrospectively analyzed.Two-port laparoscopic appendectomy with the needle loop retractor was performed to all the patients,and its efficacy was analyzed.Patients were followed up at the out-patient department or via telephone till December 2012.Results The operation was successfully completed on all the patients.One patient received triple-port laparoscopic appendectomy because of incomplete exposure.The operation time the time for was (35 ±4)minutes (range,25-75 minutes),the intra-operative blood loss was 5-8 mL,and the time of postoperative anal exhaust was (10.0 ± 1.6) hours (range,6.0-20.0 hours).No complications such as intestinal fistula,incisional infection and abdominal abscess was detected.The results of postoperative pathological examination confirmed that 27 patients were with suppurative appendicitis,13 with perforative appendicitis,10 with acute appendicitis.All the patients were followed up with a mean time of 10 months (range,6-18 months),and no long-term complications such as incisional hernia or adhesive ileus occured.Conclusion Needle loop retractor is simple,economical and practical in appendectomy.