新医学2017，Vol.48Issue(3)：160-162,3.DOI:10.3969/j.issn.0253-9802.2017.03.005
横切口腹膜外单层缝合法用于阑尾脓肿切除的临床研究
Clinical study of transverse abdominal incision sutured by single layer extraperitoneal closure in treat-ment of appendiceal abscess
摘要
Abstract
Objective To assess the clinical efficacy of transverse abdominal incision sutured by sin-gle layer extraperitoneal closure in the treatment of appendiceal abscess. Methods A total of 197 patients with appendiceal abscess scheduled to undergo surgery were enrolled and randomly divided into the single layer (n=91 )and multi-layer suture groups (n=106). In the single layer suture group,patients underwent transverse abdominal incision sutured by single layer extraperitoneal closure and those in the other group received transrec-tus incision sutured by multi-layer closure technique. Clinical parameters,medical expanse and the postopera-tive 6-month incidence of surgical complications were statistically compared between two groups. Results Compared with their counterparts in the multi-layer suture group,patients in the single layer suture group had significantly shorter operative time,less intraoperative blood loss,higher proportion of off-bed activity within postoperative 24 h and earlier anal exhaust time,lower incidence of incisional infection,higher rate of wound healing and suture removal within postoperative 7 d and lower medical cost (all P<0. 05 ). There was no sta-tistical significance in the percentage of analgesics users within postoperative 48 h and the incidence of postop-erative complications between two groups(both P>0.05).Conclusion Transverse abdominal incision su-tured by single layer extraperitoneal closure is a simple,efficacious,safe and low-cost technique to treat appen-diceal abscess.关键词
阑尾脓肿/横切口/腹膜外单层缝合Key words
Appendiceal abscess/Transverse incision/Extraperitoneal single layer suture引用本文复制引用
王蕊,叶小勇,魏波,陈图锋,张帆,苏雁甜,吕会增..横切口腹膜外单层缝合法用于阑尾脓肿切除的临床研究[J].新医学,2017,48(3):160-162,3.基金项目
广州市卫生局医药卫生科技项目 (20141 A010081 ) （20141 A010081 ）
广州医科大学青年科研基金项目 (2014A29) （2014A29）
