关键词: 穿刺针式抓钳, 双孔腹腔镜, 阑尾炎切除术

Abstract: Objective To compare the puncture needle type grab clamp three hole laparoscopic assisted laparoscopic and conventional double holes clinical effect in the treatment of acute appendicitis. Methods June 2019-September 2020 in our hospital of 60 patients with acute appendicitis,were randomly divided into normal group and the three hole piercing forceps group,30 cases each,regular conventional three out of three hole hole laparoscopic appendectomy,piercing,scratching clamp group adopted needle type pliers auxiliary double hole laparoscopic appendectomy,postoperative follow-up of 6 months,compared two groups of operation time,intraoperative blood loss,puncture time,incision length,cut suture time,postoperative complications such as index. Results Two groups of operation time,intraoperative blood loss comparison differences had no statistical significance(P>0.05).Biopsy forceps group in puncture time[(40.86±10.45)s vs (60.75±11.45)s],incision[(20.15±3.41)mm vs (27.61±3.12mm)], incision suture time[(4.22±0.86)s vs (5.35±0.75)s] was less than the conventional three hole group,difference had statistical significance(P<0.05).Two groups of anal exhaust time,postoperative hospitalization days there was no significant difference(P>0.05).Biopsy forceps group in 24 hours of postoperative incision pain score(2.11±0.25 vs 2.27±0.30),3 months after surgery scar length[(22.15±3.42)mm vs (33.24±4.32)mm] and the degree of postoperative incision(4.75±0.34 vs 4.33±0.48) was superior to the conventional three hole group,difference had statistical significance(P<0.05).Followed up for 6 months,two groups of postoperative complication such as infection,abdominal cavity infection in Trocar hole had no obvious difference,no statistical significance(P>0.05). Conclusion Needle type grab clamp auxiliary double hole laparoscopic appendectomy operation is simple,practical strong,does not increase operation difficulty and operation time,clinical feasibility is strong,reduce incision length,reduce postoperative pain,achieve more beautiful effect.

Key words: needle type pliers, double hole laparoscopic, appendix resection