KẾT QUẢ PHẪU THUẬT NỘI SOI ĐIỀU TRỊ VIÊM RUỘT THỪA CẤP TẠI TRUNG TÂM Y TẾ HUYỆN VÕ NHAI, TỈNH THÁI NGUYÊN

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Thông tin xuất bản: Tạp chí Khoa học và Công nghệ - Đại học Thái Nguyên, 2020

Mô tả vật lý: tr.45-49

Bộ sưu tập: Báo, Tạp chí

ID: 303409

Thêm vào giỏ Liên kết toàn văn

Nghiên cứu nhằm mục tiêu đánh giá kết quả phẫu thuật nội soi điều trị viêm ruột thừa cấp tại Trung tâm Y tế huyện Võ Nhai, tỉnh Thái Nguyên. Phương pháp mô tả, thiết kế cắt ngang đã được thực hiện trên 88 bệnh nhân, trong đó có 45 nam (51,1%), tuổi trung bình 35,4 (thấp nhất 16 tuổi, cao nhất 60 tuổi)
ruột thừa nằm ở vị trí bình thường (93,2%)
viêm ruột thừa xung huyết (38,6%)
viêm ruột thừa có giả mạc (35,2%)
viêm ruột thừa mủ (25%)
ruột thừa vỡ (1,2%)
chuyển mổ mở (2,3%)
thời gian phẫu thuật trung bình 47,04 phút
nhiễm khuẩn vết mổ (2,3%)
thời gian sử dụng thuốc giảm đau sau mổ, sử dụng 01 ngày (33,0%), sử dụng 2 ngày (63,6%) và 03 ngày (3,4%). Thời gian sử dụng thuốc kháng sinh sau mổ: sử dụng 3 ngày (31,4%), 5 ngày (51,2%) và 7 ngày (17,4%). Thời gian nằm viện trung bình 5,1 ngày (4-7 ngày). Kết quả tốt 84 bệnh nhân (97,7%), trung bình: 02 bệnh nhân (2,3%). Phẫu thuật nội soi điều trị viêm ruột thừa cấp là phẫu thuật an toàn, hiệu quả, mang tính thẩm mỹ cao, kỹ thuật áp dụng điều trị viêm ruột thừa cấp chưa có biến chứng, kết quả tốt đạt tỷ lệ cao. Phẫu thuật nội soi điều trị viêm ruột thừa cấp là phương pháp có thể áp dụng rộng rãi cho các bệnh viện tuyến y tế cơ sở.The study aims to evaluate the results of laparoscopic surgery for acute appendicitis at Vo Nhai District Health Center, Thai Nguyen province. A descriptive method withcross-sectional design was conducted with 88 patients, of which there was 51.1% men, patients’ average age was 35.4 years old (min age: 16 years old, max age: 60 years old)
the patients’ appendix was in the normal position (93.2%)
congestive appendicitis (38.6%)
appendicitis with pseudomembranous (35.2%)
purulent appendicitis (25%)
broken appendix (1.2%)
open surgery (2.3%)
the average surgery time of 47.04 minutes
wound infection (2.3%)
The time for painkillers after surgery was respectively 01 day (33.0%), 2 days (63.6%) and 03 days (3.4%). And the time for antibiotics after surgery was 3 days (31.4%), 5 days (51.2%) and 7 days (17.4%). The average time of being in hospital was 5.1 days (4-7 days). The results got as the following: good: 84 patients (97.7%), medium: 02 patients (2.3%). Laparoscopic surgery for treatment of acute appendicitis is safe and effective with high aesthetics, and can be applied well for uncomplicated appendicitis with high percentage of good results. Laparoscopic surgery for treatment of acute appendicitis can be widely applied in hospitals at the grassroots level.

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