中国内镜杂志2016，Vol.22Issue(3)：11-17,7.DOI:10.3969/j.issn.1007-1989.2016.03.003
内镜下逆行阑尾炎治疗术治疗急性非复杂性阑尾炎的疗效观察及安全性评估
Effect and safety of Endoscopic retrograde appendicitis therapy in treating patients with uncomplicated acute appendicitis
摘要
Abstract
Objective To study the effect and safety of endoscopic retrograde appendicitis therapy (ERAT) in treating patients with uncomplicated acute appendicitis. Methods Patients with uncomplicated acute appendicitis were enrolled and divided into ERAT group and LA group received laparoscopic appendectomy. Then compare treat-ment condition, complications and follow-up of the two groups. Results ERAT were completed successfully in all the patients in ERAT group, while one patient underwent a reversion to open appendectomy for technical difficulties in LA group. Mean operative time was (49.7 ± 18.2) min for ERAT group and (68.9 ± 25.9) min for LA group (P <0.05). Fever relief time (1.3 ± 0.5) d, WBC normalization time (2.0 ± 0.9) d, mean bed time (0.1 ± 0.2) d and mean hospital stay (3.3 ± 1.6) d for ERAT group were significantly lower than LA group (P <0.05). 14 patients with intra-luminal appendicoliths (7 of massive appendicoliths, 4 of broken appendicoliths and 3 of broken appendicoliths with luminal stenosis) underwent endoscopic lithotomy successfully in ERAT group, resulting in a success rate of 100.00%. One patient presented perforation after ERAT was cured with conservative treatment. During the follow-up of at least 1/2 year, the rate of recurrence was 10.00% in ERAT group. 1 patient (5.00%) underwent LA at the 5th month after ERAT during the follow-up. Conclusion ERAT is an effective and safe therapy in treating patients with uncomplicated acute appendicitis with advantages of minimal invasiveness and quick recovery. Uncomplicated acute appendicitis with appendicoliths and/or luminal stenosis are the most suitable indications for ERAT.关键词
急性非复杂性阑尾炎/内镜下逆行阑尾造影/内镜下逆行阑尾炎治疗术/内镜治疗/腹腔镜阑尾切除术Key words
uncomplicated acute appendicitis/endoscopic retrograde appendicography/endoscopic retrograde ap-pendicitis therapy/endoscopic therapy/laparoscopic appendectomy分类
医药卫生引用本文复制引用
厉英超,米琛,李伟之,佘军军,张静茹,闫小妮,时飞宇..内镜下逆行阑尾炎治疗术治疗急性非复杂性阑尾炎的疗效观察及安全性评估[J].中国内镜杂志,2016,22(3):11-17,7.基金项目
西安交通大学第一附属医院临床研究课题(No:XJTU1AHCR2014-006) （No:XJTU1AHCR2014-006）
