标题：超声刀在异位急性阑尾炎手术中的应用

      作者：钱明平，徐 彬，孟红波，龚 健，王 龙，宋振顺，周 波
    (同济大学附属第十人民医院普外科，上海 200072)

      卷次： 2013年24卷16期

      【摘要】 目的 探讨超声刀在异位急性阑尾炎阑尾切除术中的应用。方法 将160例行开腹阑尾切除术的
异位阑尾炎患者分为超声刀组和非超声刀组各80例，比较两组患者的手术时间、术中出血量、手术切口长度、肠
功能恢复时间、住院天数和术后并发症，并进行统计学分析。结果 超声刀组患者手术时间短、术中出血量少、
住院天数少、手术切口小，两组比较差异有统计学意义(P<0.05)，超声刀组并发症发生少。结论 超声刀应用于
异位急性阑尾炎患者阑尾切除手术可以改善手术效果，减少术后并发症。

      【关键词】 急性阑尾炎；超声刀；阑尾切除术；异位

      【中图分类号】 R656.8 【文献标识码】 A 【文章编号】 1003—6350（2013）16—2383—03


Application of ultrasonic scalpel in appendectomy of ectopic acute appendicitis.
QIAN Ming-ping, XU Bin, MENG
Hong-bo, GONG Jian, WANG Long, SONG Zhen-shun, ZHOU Bo. Department of General Surgery, Shanghai Tenth
People's Hospital Affiliated to Tongji University, Shanghai 200072, CHINA

【Abstract】 Objective To explore and discuss the application value of ultrasonic scalpel in appendectomy of
ectopic acute appendicitis. Methods One hundred and sixty patients of ectopic appendicitis were randomly divided
into the ultrasonic scalpel group and the control group, with 80 patients in each group. The two groups were compared
with respect of the operation time, blood loss, length of operation incision, the restoration time of gastrointestinal func-
tion, length of hospital stay and postoperative complications. Statistical analysis was performed. Results The ultra-
sound scalpel group was found with shorter operation time, less blood loss, shorter incision, shorter restoration time of
gastrointestinal function, and shorter length of hospital stay. Significant difference was found between two groups (P<
0.05). Besides, less postoperative complications were found in the ultrasound scalpel group. Conclusion Application
of ultrasonic scalpel in appendectomy of ectopic acute appendicitis can improve the operation effect and reduce the
postoperative complications.

      【Key words】 Acute appendicitis; Ultrasound scalpel; Appendectomy; Ectopic