Comparison of clinical application effects of two endoscopic retrograde appendicitis therapies
- VernacularTitle:两种内镜逆行阑尾炎治疗术的临床应用效果比较
- Author:
Lei LU
1
;
Xiaogang BI
;
Yan ZHANG
;
Feng TIAN
Author Information
- Keywords: appendicitis; acute uncomplicated appendicitis; acute complicated appendicitis; endoscopic retrograde appendicitis therapy(ERAT); EyeMax Insight pancreaticobiliary imaging system
- From: China Journal of Endoscopy 2024;30(11):59-65
- CountryChina
- Language:Chinese
- Abstract: Objective To compare the application of two endoscopic retrograde appendicitis therapies(ERAT)in acute uncomplicated appendicitis.Methods 100 patients with acute uncomplicated appendicitis from January 2021 to Jun 2023 were randomly divided into the direct vision group(50 cases)and the control group(50 cases).The control group was treated with conventional ERAT,and the direct vision group was treated with EyeMax Insight pancreaticobiliary imaging system assisted ERAT.The operation time,appendiceal intubation time,success rate of appendiceal intubation,abdominal pain relief time,body temperature recovery time,white blood cell recovery time,hospitalization time,and incidence of surgical complications were compared between the two groups.Results Comparison of appendiceal intubation time and operation time between the two groups:The appendiceal intubation time(5.43±3.51)min and operation time(45.50±10.65)min in the direct vision group were shorter than those in the control group(8.76±5.43)min and(54.32±13.45)min,and the differences were statistically significant(P=0.000).There were no significant differences in the success rate of intubation,recurrence rate,abdominal pain relief time,body temperature recovery time,white blood cell recovery time,hospitalization time and incidence of surgical complications between the two groups(P>0.05).Conclusion ERAT assisted by EyeMax Insight pancreaticobiliary imaging system can shorten the time of appendiceal intubation and operation,without increasing the incidence of complications,avoiding radiation exposure for patients and medical staff.It is safe and effective and worthy of clinical promotion.
