标题：结肠镜下治疗急性阑尾炎疗效观察

      作者：邓淦林，曾兆雄，陈丽芬，邓少琦，朱淑军    (东莞市第五人民医院消化内科，广东 东莞 523900)

      卷次： 2018年29卷11期

      【摘要】 目的 探讨结肠镜下治疗急性阑尾炎的临床效果。方法 选取2015年12月至2017年8月东莞市第五人民医院消化内科收治的20例拟进行结肠镜逆行急性阑尾炎治疗术患者为观察组，同期行腹腔镜下急性阑尾炎切除术的20例患者为对照组，比较两组患者的临床治疗效果、术后并发症和随访情况。结果 观察组和对照组患者的手术时间[(50.24±17.66) min vs (69.08±21.61) min]、体温恢复时间[(1.30±0.38) d vs (2.08±0.54) d]、白细胞恢复时间[(1.94±0.87) d vs (2.65±0.48) d]和术后卧床时间[(3.25±1.58) d vs (4.77±1.82) d]比较，观察组均明显低于对照组，差异均有统计学意义(P<0.05)；观察组患者术后并发症为 5.0% ，低于对照组的 15.0%，但差异无统计学意义(P>0.05)。结论 结肠镜下治疗急性阑尾炎安全、有效，患者创伤小，恢复快。
      【关键词】 急性阑尾炎；结肠镜逆行急性阑尾炎治疗术；腹腔镜阑尾炎切除术；疗效
      【中图分类号】 R656.8 【文献标识码】 A 【文章编号】 1003—6350（2018）11—1594—03

Effect of colonoscopy in the treatment of acute appendicitis.
DENG Gan-lin, CENG Zhao-xiong, CHEN Li-fen,DENG Shao-qi, ZHU Shu-jun. Department of Gastroenterology, the Fifth People's Hospital of Dongguan, Dongguan523900, Guangdong, CHINA
【Abstract】 Objective To investigate the effect of colonoscopy in the treatment of acute appendicitis.Methods A total of 20 cases of patients scheduled to undergoing colonoscopic retrograde acute appendicitis treat-ment in Department of Gastroenterology of the Fifth People's Hospital of Dongguan from Dec. 2015 to Aug. 2017,were selected as the observation group. At the same time, 20 patients underwent laparoscopic excision of acute ap-pendicitis were enrolled into the control group. The clinical curative effect, complication and follow-up of the twogroups were compared. Results The operation time, temperature recovery time, white blood cell recovery time, andpostoperative recovery time of the observation group were (50.24±17.66) min, (1.30±0.38) d, (1.94±0.87) d, (3.25±1.58) d,respectively, which were significantly lower than corresponding (69.08 ± 21.61) min, (2.08 ± 0.54) d, (2.65 ± 0.48) d,(4.77±1.82) d of the control group (all P<0.05). There were no statistically significant difference between the two groupsin the postoperative complications (5.0% vs 15.0% , P>0.05). Conclusion Colonoscopy is safe and effective for thetreatment of acute appendicitis, and the patients have little trauma and quick recovery.
      【Key words】 Acute appendicitis; Endoscopic retrograde acute appendicitis treatment; Laparoscopic appendicitisresection; Clinical effect·临床经验·doi:10.3969/j.issn.1003-6350.2018.11.035基金项目：广东省东莞市科技计划医疗卫生类科研一般项目(编号：201510515000417)