简介: 【摘 要】目的:研究小切口阑尾炎切除术治疗阑尾炎的临床疗效。方法:选取 2018年 12月 -2020年 1月 70例阑尾炎患者作为研究对象,抽取 35例作为观察组,另根据配对原则抽取 35例作为对照组。对照组采用传统切口阑尾切除术,观察组采用小切口阑尾炎切除术。对比手术时间、术中出血量及术后并发症发生率。结果:观察组手术时间短于对照组,术中出血量及术后并发症发生率少于对照组,对比差异有统计学意义( P<0.05)。结论:小切口阑尾炎切除术治疗阑尾炎具有显著效果,可缩短治疗时间,减少术中出血及术后并发症对患者造成的影响,值得临床推广。 【关键词】小切口阑尾炎切除术;阑尾炎;并发症 Objective: To study the clinical effect of small incision appendectomy in the treatment of appendicitis. Methods: 70 cases of appendicitis patients from December 2018 to January 2020 were selected as the research object, 35 cases were selected as the observation group, and 35 cases were selected as the control group according to the matching principle. The control group was treated with traditional incision appendectomy, and the observation group was treated with small incision appendectomy. The operation time, intraoperative blood loss and postoperative complications were compared. Results: the operation time of the observation group was shorter than that of the control group, the intraoperative blood loss and the incidence of postoperative complications were less than those of the control group, the difference was statistically significant (P < 0.05). Conclusion: small incision appendectomy in the treatment of appendicitis has a significant effect, can shorten the treatment time, reduce intraoperative bleeding and postoperative complications on patients, which is worthy of clinical promotion.
简介:【摘要】目的: 探讨 18F-FDG PET-CT显像对非小细胞肺癌术前区域淋巴结诊断及分期的临床应用价值。方法 回顾分析 64例非小细胞肺癌患者术前 PET-CT及 CT对肺门、纵隔淋巴结的诊断及分期结果,并与术后病理诊断结果进行对照。结果: 64例患者共清扫淋巴结 280组 (828枚 ),其中 34组 (39枚 )病理证实为转移。 PET-CT术前正确诊断阳性淋巴结 25组,阴性淋巴结 237组; CT术前正确诊断阳性淋巴结 9组,阴性淋巴结 243组。两种检查方法的灵敏度和阴性预测值之间差异有统计学意义 (P< 0.05)。 PET-CT较 CT对 N2分期的正确率与 CT比较虽呈明显增高态势,但无统计学意义 (P> 0.05)。结论: PET-CT较 CT对 NSCLC术前区域淋巴结转移诊断和分期具有明显的优势,但存在一定的假阳性和假阴性,诊断时需要结合临床及其它检查结果综合判断。