小儿腹腔镜与开腹阑尾切除术的比较  

COMPARISON BETWEEN LAPAROSCOPIC AND OPEN APPENDECTOMY IN CHILDREN

作　　者：苏毅[1] 连晃[1] 纪延辉[1] 刘明学[1] 

机构地区：[1]福建省厦门市第一医院小儿外科,福建厦门361003

出　　处：《河北医科大学学报》2006年第6期554-556,共3页Journal of Hebei Medical University

摘　　要：目的 比较腹腔镜与开腹阑尾切除术两种术式的优越性。方法 2004年1月～2006年6月，分别应用腹腔镜阑尾切除术92例和开腹阑尾切除术48例，记录两种术式的手术时间、术后各项指标恢复情况及并发症。结果 腹腔镜阑尾切除术组手术时间、镇痛剂应用、肛门排气时间、住院时间、切口感染率、粘连性肠梗阻发生率和腹腔脓肿发生率等指标明显低于开腹阑尾切除术组（P〈0．01）。结论 腹腔镜阑尾切除术创伤小、恢复快且并发症少，明显优于常规开腹阑尾切除术。Objective To compare the efficacy of laparoscopic appendectomy（LA） with that of open appendectomy（OA） in children. Methods From January 2004 to June 2006, 92 children with appendicitis underwent laparoscopic appendectomy and 48 cases encountered open appendectomy. The operative time, postoperative recovery parameters and complications were recorded in two groups. Results All statistical parameters （ the mean operation time, postoperative administration of anesthesia, passage of gas, hospitalization period, infection of incision, postoperative adhesive obstruction and abdominal abscess） in LA were significantly decreased as compared with OA（ P〈0.01）. Conclusion LA has minimal invasion, rapid recovery and less complication. It has more advantages than OA.

关 键 词：腹腔镜 阑尾切除术 儿童 

分 类 号：R726.1[医药卫生—儿科]