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自制圈套器在腹腔镜下阑尾切除术中的临床应用

赵海平 张世伟 孙文辉 骆焕平 邵时杰

中国现代医生2018,Vol.56Issue(13):88-90,3.
中国现代医生2018,Vol.56Issue(13):88-90,3.

自制圈套器在腹腔镜下阑尾切除术中的临床应用

Clinical application of self —made snare in laparoscopic appendectomy

赵海平 1张世伟 1孙文辉 1骆焕平 1邵时杰1

作者信息

  • 1. 杭州市富阳区第一人民医院浙江中医药大学附属富阳医院胃肠外科,浙江杭州 311400
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摘要

Abstract

Objective To investigate the clinical application of self-made snare in laparoscopic appendectomy. Methods The clinical datas of 197 cases who were acute appendicitis under laparoscopic appendectomy in the first people's hospital of Fuyang in Hangzhou from June 2015 to June 2017 were collected, then they were divided into self-made snare group (85) and Hem-o-lok group (112). Variations of operation time, operation bleeding, first postoperative anal exhaust time and length of stay above two groups were analyzed. Variations of incision infection, abdominal abscess and intestinal obstructionabove two groups were analyzed. Results Two groups of patients were compared with operation time [self-made snare group(43. 71±5. 54)min: Hem-o-lok group(42. 29±5. 34)min], operation bleeding[self-made snare group(l 1. 60±2. 44)mL: Hem-o-lok group(l 1. 00±2. 56)mL],first postoperative anal exhaust time [self-made snare group (10. 01±2. 27)h: Hem-o-lok group(9. 60±2. 32)h] and length of stay[self-made snare group(5. 19±0. 95)d: Hem-o-lok group (4. 99±0. 85)d], the differences were not statistically significant(P>0. 05). Two groups of patients were compared with incision infection[self-made snare group 2 cases(2. 35%): Hem-o-lok group 3 cases(2. 68%)], abdominal abscess [self-made snare group 1 case(1. 18%): Hem-o-lok group 2 cases (1. 79%)] and intestinal obstructionabove [self-made snare group 3 cases(3. 53%): Hem-o-lok group 5 cases(4. 46%)], the differences were not statistically significant(P>0. 05). Conclusion Self-made snare in laparoscopic appendectomy is safe and feasible.

关键词

急性阑尾炎/腹腔镜/自制圈套器/Hem-o-lok

Key words

Acute appendicitis/Laparoscope/Self-made snare/Hem-o-lok

分类

医药卫生

引用本文复制引用

赵海平,张世伟,孙文辉,骆焕平,邵时杰..自制圈套器在腹腔镜下阑尾切除术中的临床应用[J].中国现代医生,2018,56(13):88-90,3.

基金项目

浙江省杭州市农业与社会发展科研项目库入库项目(20163501Y113) (20163501Y113)

中国现代医生

1673-9701

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