Kết quả phẫu thuật nội soi điều trị viêm phúc mạc ruột thừa tại Trung tâm Y tế huyện Thanh Sơn tỉnh Phú Thọ

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Quang Nhật Lô, Đức Tùng Vũ

Ngôn ngữ: vie

Ký hiệu phân loại: 617.556 +Biliary tract and liver

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2023

Mô tả vật lý: 17-21

Bộ sưu tập: Metadata

ID: 502514

Thêm vào giỏ

Đánh giá kết quả sớm phẫu thuật nội soi điều trị viêm phúc mạc ruột thừa tại Trung tâm y tế huyện Thanh Sơn. Đối tượng và phương pháp nghiên cứu: Gồm 80 bệnh nhân VPMRT được điều trị bằng phẫu thuật nội soi tại Trung tâm y tế huyện Thanh Sơn, Phú Thọ từ 01/6/2021 đến 31/5/2023. Phương pháp nghiên cứu mô tả. Kết quả: Tuổi trung bình 44,90 ± 16,13 (16 - 76 tuổi). Nữ giới 57,5%. Tỷ lệ chuyển mổ mở 5,0%, tai biến trong mổ tràn khí dưới da 2,5%. Biến chứng sau mổ 2,5% (ổ dịch tồn dư tại hố chậu phải), không có trường hợp tử vong. Thời gian phẫu thuật trung bình: 64,75 ± 10,82 phút. Thời gian có trung tiện trở lại sau phẫu thuật trung bình 47,78 ± 6,78 giờ. Thời gian hậu phẫu trung bình 7,03 ± 1,13 ngày. Đánh giá kết quả chung điều trị, tốt 92,5%, trung bình 7,5%, xấu 0%. Kết luận: Phẫu thuật nội soi trong điều trị viêm phúc mạc ruột thừa tại Trung tâm y tế huyện Thanh Sơn là an toàn, hiệu quả, khả thi.To evaluate the early results of laparoscopic management of the appendicular peritonitis at Thanh Son district medical center. Materials and methods: Research was conducted on 80 cases of the appendicular peritonitis that were treated by laparoscopic surgery at Thanh Son district medical center from 6/2021 to 5/2023. Results: The average age was 44,90 ± 16,13 (16 - 76), the woman was 57,5%. Conversion rate was 5,0%. the rate of intraoperative complications (subcutaneous emphysema) was 2,5%. The postoperative complications were 2,5% (postoperative intra-abdominal abscess) without any mortality. Mean operative time was 64,75 ± 10,82 minutes, mean time of flatus passage was 47,78 ± 6,78 hours and the average hospital stay was approximately 7,03 ± 1,13 days. The general outcomes: 92,5% good, 7.5% medium and 0% bad. Conclusion: Laparoscopic surgery is safe and efficient option in appendicular peritonitis at Thanh Son district medical center.

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