Clinical Efficacy of Abdominal Ultrasound-guided Endoscopic Retrograde Appendicitis Therapy for Acute Uncomplicated Appendicitis

Siyun LI; Zanyou YAN; Zan SHENG; Jieyu LIU; Jihua HUANG; Zhiping GUO; Yuping JI; Zhongjian LIU; Fan ZHANG

doi:10.12259/j.issn.2095-610X.S20240213

Volume 45 Issue 2

Feb. 2024

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Article Navigation > Journal of Kunming Medical University > 2024 > 45(2): 99-104

Siyun LI, Zanyou YAN, Zan SHENG, Jieyu LIU, Jihua HUANG, Zhiping GUO, Yuping JI, Zhongjian LIU, Fan ZHANG. Clinical Efficacy of Abdominal Ultrasound-guided Endoscopic Retrograde Appendicitis Therapy for Acute Uncomplicated Appendicitis[J]. Journal of Kunming Medical University, 2024, 45(2): 99-104. doi: 10.12259/j.issn.2095-610X.S20240213

Citation:

Siyun LI, Zanyou YAN, Zan SHENG, Jieyu LIU, Jihua HUANG, Zhiping GUO, Yuping JI, Zhongjian LIU, Fan ZHANG. Clinical Efficacy of Abdominal Ultrasound-guided Endoscopic Retrograde Appendicitis Therapy for Acute Uncomplicated Appendicitis[J]. Journal of Kunming Medical University, 2024, 45(2): 99-104. doi: 10.12259/j.issn.2095-610X.S20240213

Citation:

Siyun LI, Zanyou YAN, Zan SHENG, Jieyu LIU, Jihua HUANG, Zhiping GUO, Yuping JI, Zhongjian LIU, Fan ZHANG. Clinical Efficacy of Abdominal Ultrasound-guided Endoscopic Retrograde Appendicitis Therapy for Acute Uncomplicated Appendicitis[J]. Journal of Kunming Medical University, 2024, 45(2): 99-104. doi: 10.12259/j.issn.2095-610X.S20240213

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Clinical Efficacy of Abdominal Ultrasound-guided Endoscopic Retrograde Appendicitis Therapy for Acute Uncomplicated Appendicitis

doi: 10.12259/j.issn.2095-610X.S20240213

1.
Dept. of Gastroenterology，The 3rd People’s Hospital of Yunnan Province，Kunming Yunnan 650200
2.
Institute of Basic and Clinical Medicine，The 1st People’s Hospital of Yunnan Province，Kunming Yunnan 650100，China

Received Date: 2023-11-13
Available Online: 2024-01-27
Publish Date: 2024-02-25

Abstract

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.
- Abdomen ultrasonic guidance,
- Endoscopic retrograde appendicitis therapy,
- Acute uncomplicated appendicitis,
- Propensity score matching

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References(24)

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