腹腔镜一期手术治疗小儿阑尾周围脓肿  

Clinical analysis of 17 cases children periappendiceal abscess with therapeutic laparoscopy.

作　　者：马立东[1] 李春雷[1] 周福金[1] 曲朝辉[1] 刘斌[1] 杜金原 

机构地区：[1]沈阳市儿童医院外科,辽宁省沈阳市110032

出　　处：《临床小儿外科杂志》2013年第3期191-193,共3页Journal of Clinical Pediatric Surgery

摘　　要：目的探讨经腹腔镜一期手术治疗小儿阑尾周围脓肿的可行性及临床疗效。方法2010年11月至2012年11月我们收治17例阑尾周围脓肿患儿，男10例，女7例，年龄（6．78±3．46）岁，病程：（3—11）d，平均5．12d；影像学检查显示右下腹包块，均经腹腔镜探查证实为阑尾周围脓肿，子阑尾切除、腹腔引流术。结果患儿均手术顺利，术后均获随访，随访时间1个月至1年，手术时间（98．53±35．41）min，住院时间（12．12±6．35）d，术后出现切口感染2例（占11．2％），肠梗阻1例，腹腔残余脓肿1例，经保守对症治疗均获治愈，元严重并发症。结论腹腔镜一期治疗阑尾周围脓肿安全显效。Objetive To explore the feasibility and clinical efficacy of a one stage treatment of pediatric appendieeal abscess with laparoscopy. Method A retrospective analysis of 17 cases children periappendiceal abscess treated from Nov,2010 to Nov, 2012, 10 males, 7 females, age 6.78 ± 3.46 years. Course of dis- ease ： （ 3 - 11 ） days. Imaging showed a right lower quadrant mass. All patients confirmed for appendiceal ab- scess via laparoseopic surgery and underwent appendectomy and abdominal drainage. Follow up all these chil- dren postoperatively. Results All the patients postoperative were followed up successfully from 1 month to 1 year. Surgery duration was 98.53 ±35.41 minutes, hospitalization 12.12 ± 6.35 days. Two cases wound in- fection （11.2%）, one case intestinal obstruction, one patient with abdominal abscess. All were cured with conservative therapy. There were no serious complications postoperative. Conclusion Laparoseopy is a safe and effective treatment of appendieeal abscess.

关 键 词：腹腔镜检查 腹部脓肿 外科学 阑尾炎 外科学 治疗结果 

分 类 号：R656.8[医药卫生—外科学]