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手术时机对急性阑尾炎预后影响研究

王天野 赵海鹰 孙文郁 杨智 林国福 刘金钢

中国实用外科杂志2017,Vol.37Issue(2):179-181,3.
中国实用外科杂志2017,Vol.37Issue(2):179-181,3.DOI:10.19538/j.cjps.issn1005-2208.2017.02.19

手术时机对急性阑尾炎预后影响研究

Influence of operation opportunity on the prognosis of acute appendicitis

王天野 1赵海鹰 1孙文郁 1杨智 1林国福 1刘金钢1

作者信息

  • 1. 中国医科大学附属第四医院普通外科,辽宁沈阳110032
  • 折叠

摘要

Abstract

Objective To investigate the effect of different operation time on the prognosis of patients with acute appendicitis. Methods The clinical data of 428 patients admitted between January 2014 and May 2016 in the Fourth Affiliated Hospital of China Medical University were analyzed retrospectively. A total of 328 patients with the onset of the disease within 72 h was brought into the 72 h surgery group, while 100 patients were brought into the delayed surgery group after 72 h, The relationship between the different operation opportunity and the time of hospitalization, the time of operation, the cost of operation, the exhaust time, the rate of conversion to open surgery, the incidence of postoperative complications were analyzed. Results The cost of hospitalization in the delayed surgery group was higher than that in the 72 h surgery group, but the operation time, hospitalization time, exhaust time, conversion to open surgery rate and postoperative complications were not different significantly. Conclusion For patients with onset time more than 72h, the primary operation treatment including laparoscopic appendectomy is also feasible, so as to avoid the second admission surgery, shorten the length of hospitalization, reduce the cost, and reduce the pain of patients.

关键词

急性阑尾炎/手术时机/预后

Key words

acute appendicitis/operation opportunity/prognosis

分类

医药卫生

引用本文复制引用

王天野,赵海鹰,孙文郁,杨智,林国福,刘金钢..手术时机对急性阑尾炎预后影响研究[J].中国实用外科杂志,2017,37(2):179-181,3.

中国实用外科杂志

OA北大核心CSCDCSTPCD

1005-2208

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