内镜逆行阑尾炎治疗术

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【摘要】目的：分析内镜逆行阑尾炎术治疗阑尾炎的效果。方法：随机抽取我院自收治的30例阑尾炎患者开展本次临床实践研究，入组后，采用单双号法对患者进行分组，15例分到单号者纳入对照组，采用传统阑尾切除术治疗，15例分到双号者纳入观察组，采用内镜逆行阑尾炎术治疗，对比两组患者治疗效果。结果：手术后，观察组患者IL-6（11.62±1.65）mg/L、CRP（21.84±2.15）mg/L低于对照组（20.89±2.03）mg/L、（40.17±3.04）mg/L，观察组患者术后排气时间（15.08±2.14）h短于对照组（26.16±2.87）h，观察组患者切口疼痛评分（2.17±0.45）分及术后并发症发生率（6.67%）低于对照组（8.08±0.69）分、（20.00%）（P

【关键词】传统阑尾切除术；内镜逆行阑尾炎术；阑尾炎

基金项目：茂名市科技计划项目《内镜逆行阑尾炎治疗术》（200419164558943）

Endoscopic retrograde appendicitis treatment

WANG Zhenzhen， ZENG Quanxiang， HUANG Yesheng， LI Dan， WU Zhenhua， KE Da Maoming People’s Hospital Digestive Department， Maoming， Guangdong 525000， China

【Abstract】Objective： To analyze the effect of endoscopic retrograde appendicitis in the treatment of appendicitis. Methods： A total of 30 patients with appendicitis admitted to our hospital were randomly selected to carry out this clinical practice study， and after enrollment， the patients were grouped by single and even number method， 15 cases were classified into the control group， treated by traditional appendectomy， 15 cases were classified into the observation group， and endoscopic retrograde appendicitis was used to compare the treatment effects of the two groups. Results： After surgery， IL-6 （11.62±1.65） mg/L and CRP （21.84±2.15） mg/L in the observation group were lower than those in the control group （20.89±2.03） mg/L and （40.17±3.04） mg/L， and the postoperative exhaust time （15.08±2.14） h in the observation group was shorter than that in the control group （26.16±2.87）， and the incision pain score in the observation group was （2.17±0.45） and the incidence of postoperative complications （6.67%） were lower than those in the control group （8.08±0.69） and （20.00%）（P

【Key Words】Traditional appendectomy； Endoscopic retrograde appendicitis； Appendicitis

阑尾炎是一种由各种原因引起阑尾发生的炎性改变，常见致病因素有阑尾腔内细菌感染、阑尾梗阻、阑尾黏膜受损、阑尾管腔狭窄、血供障碍等[1]。（剩余4127字）