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开放式和腹腔镜尾切除术结果的比较:一个回顾性队列研究
Sunil Basukala1, Niranjan Thapa2, Ujwal Bhusal2
1Department of Surgery Nepalese Army Institute of Health Sciences Kathmandu Nepal.
Health science reports
|August 7, 2023
概括
与急性尾炎的开放尾切除术相比, laparoscopic尾切除术提供了较少的术后疼痛和较短的住院时间. 虽然手术时间较长,但好处使其成为不复杂病例的首选.
科学领域:
- 手术 手术 手术 术 术
- 胃肠病学 胃肠病学
背景情况:
- 开放性尾切除术是急性尾炎的传统治疗方法.
- laparoscopic 尾切除术由于潜在的好处,如减少疼痛和更短的住院时间,而越来越流行.
- 然而,腹腔镜手术可能涉及更高的成本和更长的手术时间.
研究的目的:
- 为了比较急性尾炎的开放尾切除与腹腔镜尾切除的结果.
- 分析两个手术方法之间的手术前,手术内和手术后的参数.
主要方法:
- 从2018年1月到2021年12月进行了一项回顾性队列研究.
- 分析了450名参与者的数据 (300名开放尾切除术,150名腹腔镜尾切除术).
- 使用SPSS-25进行了统计分析,以比较结果.
主要成果:
- 腹腔镜尾切除术 (LA) 患者的平均年龄 (23.89岁) 与开放尾切除术 (OA) 患者 (26.72岁) 相比较年轻.
- 在手术时间 (在LA更长),住院时间 (在LA更短) 和口服止痛药的持续时间 (在LA更短) 中观察到显著差异.
- 虽然LA组的并发症总数较低,但两组手术后并发症在统计学上没有显著差异.
结论:
- 腹腔镜尾切除术是无并发性尾炎的优越选择.
- 手术后疼痛减少和住院时间缩短的好处支持使用腹腔镜方法.
- 进一步的研究可能会探索成本效益和长期结果.
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