CAJ | 학술논문

目的：探讨运用小切口行阑尾切除术能否降低阑尾切口感染率和其他并发症的发生率。方法实验组运用小切口切除阑尾，切口位于右下腹压痛最明显处，约2~3cm长，对照组采用传统的手术切口，切口位于右下腹压痛最明显处，长度为5~7cm，其他手术操作步骤完全一样，观察比较两组的切口长度、手术时间、切口感染率和其他并发症发生率。结果实验组切口平均长度为2.5cm，手术时间平均为60min，切口感染2例，占2.2%，其他并发症3例，占3.3%，对照组切口平均长度为5.8cm，手术时间平均为57min，切口感染9例，占9.5%，其他并发症4例，占4.2%，两组比较，实验组切口长度和切口感染率显著小于对照组，但手术时间和其他并发症发生率并无显著差异。结论小切口阑尾切除能显著降低阑尾切口感染率，不会增加其他并发症的发生率和不会延长手术时间。
목적：탐토운용소절구행란미절제술능부강저란미절구감염솔화기타병발증적발생솔。방법실험조운용소절구절제란미，절구위우우하복압통최명현처，약2~3cm장，대조조채용전통적수술절구，절구위우우하복압통최명현처，장도위5~7cm，기타수술조작보취완전일양，관찰비교량조적절구장도、수술시간、절구감염솔화기타병발증발생솔。결과실험조절구평균장도위2.5cm，수술시간평균위60min，절구감염2례，점2.2%，기타병발증3례，점3.3%，대조조절구평균장도위5.8cm，수술시간평균위57min，절구감염9례，점9.5%，기타병발증4례，점4.2%，량조비교，실험조절구장도화절구감염솔현저소우대조조，단수술시간화기타병발증발생솔병무현저차이。결론소절구란미절제능현저강저란미절구감염솔，불회증가기타병발증적발생솔화불회연장수술시간。
Objective?To?discuss?if?small?incision?appendectomy?can?reduce?incision?infection?rate?and?other?complication?rate.?Methods?Small?incision?appendectomy?was?operated?in?experiment?group,?in?which?incision?was?located?in?right?lower?quadrant?where?there?was?the?most?tenderness,?5-7?cm?length,?while?other?operation?procedures?were?the?same.?Compare?the?incision?length,?operative?time,?incision?infection?rate,?and?other?complication?rate?between?the?two?groups.?Results?In?experiment?group,?the?average?incision?length?was?2.5?cm,?operative?time?was?60?min,?2?cases?had?incision?infections,?2.2%,?3?cases?had?other?complications,?3.3%.?In?comparing?group,?the?average?incision?was?5.8?cm,?the?operative?time?was?57?min,?9?cases?had?incision?infections,?9.5%,?4?cases?had?other?complications,?4.2%.?Compare?the?two?groups,?the?incision?length?and?infection?rate?were?obviously?less?than?comparing?group,?while?the?operative time and other complication rate didn’t have signiifcant deviation.Conclusion?Small incision infection appendectomy can signiifcantly reduce incision?infection?rate,?but?not?increase?other?complication?rate?and?prolong?operative?time.