Clinical Efficacy of Abdominal Ultrasound-guided Endoscopic Retrograde Appendicitis Therapy for Acute Uncomplicated Appendicitis
10.12259/j.issn.2095-610X.S20240213
- VernacularTitle:评价腹部超声引导内镜下逆行阑尾炎治疗术对急性非复杂性阑尾炎的临床疗效
- Author:
Siyun LI
1
;
Zanyou YAN
;
Zan SHENG
;
Jieyu LIU
;
Jihua HUANG
;
Zhiping GUO
;
Yuping JI
;
Zhongjian LIU
;
Fan ZHANG
Author Information
1. 云南省第三人民医院消化内科,云南 昆明 650200
- Keywords:
Abdomen ultrasonic guidance;
Endoscopic retrograde appendicitis therapy;
Acute uncomplicated appendicitis;
Propensity score matching
- From:
Journal of Kunming Medical University
2024;45(2):99-104
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical efficacy of abdominal ultrasound-guided endoscopic retrograde appendicitis therapy(ERAT)with laparoscopic appendectomy(LA)for acute uncomplicated appendicitis using propensity score matching.Methods The clinical data of 441 patients with acute uncomplicated appendicitis admitted to the Third People's Hospital of Yunnan Province from March 2020 to April 2023 were collected.The cases were classified based on the differences in surgical method and divided into the ERAT group(n = 30)and LA group(n = 411).The clinical efficacy of patients was compared between the two groups after reducing confounding bias by propensity score matching(PSM).Results After PSM,a total of 30 pairs of patients in the two groups were successfully matched,and the baseline data of the two groups met the requirements for comparability.At 24 hours after the operation,the ERAT group exhibited lower white blood cells,neutrophil counts,and C-reactive protein levels compared to the LA group,and these differences were statistically significant(P<0.05).There was no significant difference in the operation time and total effective rate between the ERAT group and the LA group(P>0.05).However,the ERAT group had lower intraoperative blood loss and shorter pain relief time compared to the LA group,and these differences were statistically significant(P<0.05).Conclusion Abdominal ultrasound-guided endoscopic retrograde appendicitis treatment is an effective,safe,and feasible technique with good prospects for the treatment of acute uncomplicated appendicitis.
