CAJ | 학술논문

目的：探讨小切口阑尾切除术治疗急性阑尾炎的临床疗效。方法：2001年2月-2006年5月收治急性阑尾炎患者80例，随机分成传统治疗组和小切口治疗组，各40例，传统治疗组采用传统的开腹方法进行治疗，小切口组采用小切口阑尾切除术治疗。结果：小切口组切口长度(2.7±0.5)cm，手术时间(33.2±6.5)min，术中出血量(30.1±15.4) mL，住院时间(4.1±1.1)d，发生并发症1例，并发症发生率2.5%；传统治疗组切口长度(6.4±0.5)cm，手术时间(52.6±7.8)min，术中出血量(96.6±22.2)mL，住院时间(6.3±0.5)d，发生并发症7例，并发症发生率17.5%，两组比较差异有统计学意义(P＜0.05)。结论：小切口治疗急性阑尾炎具有切口小、创伤小、手术时间短、出血少、并发症少等优点，值得临床推广。
목적：탐토소절구란미절제술치료급성란미염적림상료효。방법：2001년2월-2006년5월수치급성란미염환자80례，수궤분성전통치료조화소절구치료조，각40례，전통치료조채용전통적개복방법진행치료，소절구조채용소절구란미절제술치료。결과：소절구조절구장도(2.7±0.5)cm，수술시간(33.2±6.5)min，술중출혈량(30.1±15.4) mL，주원시간(4.1±1.1)d，발생병발증1례，병발증발생솔2.5%；전통치료조절구장도(6.4±0.5)cm，수술시간(52.6±7.8)min，술중출혈량(96.6±22.2)mL，주원시간(6.3±0.5)d，발생병발증7례，병발증발생솔17.5%，량조비교차이유통계학의의(P＜0.05)。결론：소절구치료급성란미염구유절구소、창상소、수술시간단、출혈소、병발증소등우점，치득림상추엄。
Objective:To investigate the clinical efficacy of small incision appendectomy in the treatment of acute appendicitis. Methods:80 patients with acute appendicitis were selected from February 2001 to May 2006.They were randomly divided into the conventional treatment group and the small incision treatment group with 40 cases in each.Patients in the conventional treatment group were treated with traditional open methods,while in the small incision treatment group were given small incision appendectomy.Results:The average length of incision in the small incision treatment group was(2.7±0.5)cm;the operation time was(33.2±6.5)min;the amount of bleeding during operation was(30.1±15.4)mL;the time of hospitalization was(4.1±1.1)d;only 1 cases occurred complication,and the complication rate was 2.5%.The average incision length of the conventional treatment group was(6.4±0.5)cm;the operation time was(52.6±7.8)min;the amount of bleeding during operation was(96.6±22.2)mL;the time of hospitalization was(6.3 ± 0.5)d;7 patients occurred complications after operation,and the complication rate was 17.5% .The differences were statistically significant between two groups(P<0.05).Conclusion:Small incision appendectomy in the treatment of acute appendicitis has some advantage such as small incision,less trauma,short operative time,less bleeding and fewer complications,so it is worthy of clinical promotion.