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Randomized controlled trial of transverse abdominal incision sutured by one-layer extraperitoneal closure versus laparoscopic appendectomy in treatment of acute appendicitis
Author(s): Lyu Huizeng, Wei Bo, Ye Xiaoyong, Chen Xinqi, Zhang Fan, Zhang Wenhai, Zhou Rujian
Pages: 110-
114
Year: 2015
Issue:
2
Journal: New Chinese Medicine
Keyword: Appendicitis; Appendectomy; Extraperitoneal one-layer suture; Laparoscopy;
Abstract: 目的 比较横切口腹膜外单层缝合和腹腔镜用于阑尾切除术的临床应用效果.方法 研究纳入因单纯性阑尾炎或化脓坏疽性阑尾炎切除术而急诊行阑尾切除术的543例患者,随机分为单层缝合组261例和腹腔镜组282例,分别采用横切口腹膜外单层缝合法或腹腔镜阑尾切除术治疗,对2种术式的临床疗效进行对比分析.结果 与腹腔镜组比较,单层缝合组的手术时间缩短、术中出血量减少、医疗费用明显降低(P均<0.01).尽管术后单层缝合组患者的肛门排气时间明显延长(P<0.01),但其术后疼痛程度、住院时间、切口感染和其他并发症发生率与腹腔镜组比较差异均无统计学意义(P>0.05).结论 应用横切口腹膜外单层缝合术行阑尾切除术具有操作简单、安全、经济的临床特点,可作为阑尾切除的推荐术式.
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