不同治疗方式对122例阑尾周围脓肿的疗效研究

Study on the Curative Effect of Different Treatment Methods on 122 Cases of Periappendiceal Abscess

摘要: 目的：探讨两种不同方法对阑尾周围脓肿的疗效研究。方法：回顾性分析陕西省人民医院普外科在2018~2021年收治的122例阑尾周围脓肿患者的临床资料。根据治疗方法将122例患者分为一期手术组、穿刺引流组，每组各61例，比较两组患者术后引流管放置时间、抗生素使用时间以及住院时间、住院费用、并发症发生率情况，并随访观察治疗后3个月内脓肿复发率。结果：两组患者的术前基线资料差异无统计学意义(P > 0.05)。手术组术后引流管放置时间、抗生素使用时间以及住院时间均短于穿刺引流组，差异有统计学意义(P < 0.05)；而住院费用一期手术组大于穿刺引流组，差异有统计学意义(P < 0.05)。一期手术组术后发生切口感染2例、阑尾残端瘘1例，穿刺引流组术后脓肿残留2例，且有3例出现复发，两组术后并发症发生率及复发率对比差异无统计学意义(P > 0.05)。结论：入院行一期腹腔镜手术治疗并结合常规抗感染治疗阑尾周围脓肿，疗效显著，可缩短患者治疗周期，改善患者的实验室指标。

Abstract: Objective: To explore the curative effect of different methods on periappendiceal abscess. Methods: Clinical data of 122 patients with periappendiceal abscess admitted to Department of General Sur-gery, Shaanxi Provincial People’s Hospital from 2018 to 2021 were retrospectively analyzed. Ac-cording to the treatment methods, 122 patients were divided into stage I surgery group and punc-ture drainage group, with 61 patients in each group. The postoperative drainage tube placement time, antibiotic use time, hospital stay, hospital cost and complication rate of the two groups were compared, and the recurrence rate of abscess within 3 months after treatment was observed. Re-sults: There was no significant difference in preoperative baseline data between 2 groups (P > 0.05). The postoperative drainage tube placement time, antibiotic use time and hospitalization time in the surgery group were shorter than those in the puncture and drainage group, and the differences were statistically significant (P < 0.05). The hospitalization cost of stage I surgery group was higher than that of puncture and drainage group, the difference was statistically significant (P < 0.05). There were 2 cases of incision infection and 1 case of appendix stump fistula in the stage I surgery group, and 2 cases of residual abscess and 3 cases of recurrence in the puncture and drainage group. There was no statistical significance in the incidence and recurrence rate of postoperative compli-cations between the two groups (P > 0.05). Conclusion: After one-stage laparoscopic surgery com-bined with conventional anti-infection treatment for periappendiceal abscess, the curative effect is significant, the treatment period of patients can be shortened, and the laboratory indicators of pa-tients can be improved.