腹腔镜阑尾切除术治疗儿童白血病并发急性阑尾炎(附6例报告)  

Laparoscopic appendectomy in the treatment of children with acute appendicitis and leukemia: with a report of 6 cases

作　　者：孙华朋[1] 廖晓锋[1] 张娜[1] 

机构地区：[1]湖北文理学院附属襄阳市中心医院,湖北襄阳441021

出　　处：《腹腔镜外科杂志》2014年第12期935-937,共3页Journal of Laparoscopic Surgery

摘　　要：目的:探讨白血病患儿并发急性阑尾炎全麻下行腹腔镜阑尾切除术的安全性及手术时机。方法:回顾分析2009年1月至2014年7月收治的6例白血病患儿并发急性阑尾炎行腹腔镜阑尾切除术的相关资料,并复习相关文献。结果:患者均在全麻下完成腹腔镜阑尾切除术,术后高热3例,切口穿刺孔渗血、积血1例,均经处理治愈出院,无一例死亡。结论:白血病患者较正常人更容易罹患急性阑尾炎,一旦确诊应首选手术治疗。随着近年腹腔镜技术的发展,腹腔镜阑尾切除术由于具有并发症少、患者创伤小、疗效好、康复快、住院时间短等优点为治疗儿童白血病患者并发急性阑尾炎提供了又一手术方式的选择。我们经验证明儿童白血病并发急性阑尾炎行腹腔镜阑尾切除术是安全、可行的。Objective： To explore the safety and operative timing of laparoscopic appendectomy in the treatment of children with acute appendicitis and leukemia under general anesthesia. Methods： From Jan. 2009 to Jul. 2014,6 children with leukemia complicated by acute appendicitis underwent laparoscopic appendectomy. Their clinical data were retrospectively analyzed and associated literatures were reviewed. Results： All 6 cases underwent laparoscopic appendectomy under general anesthesia,the postoperative hyperpyrexia was found in 3 cases and port-site errhysis was found in 1 case,and all cases were cured by correlative treatment,no death occurred. Conclusions： Leukemia is predisposed to acute appendicitis than normal. Surgery is acceptable as first-line treatment in such cases once diagnosing. Laparoscopic surgery is safe and feasible and appears to be a better surgical choice for children with acute appendicitis and leukemia because of its advantages of fewer complications and trauma,better effect,quicker recovery,and shorter hospital stay.

关 键 词：白血病 急性阑尾炎 阑尾切除术 腹腔镜检查 儿童 

分 类 号：R726.5[医药卫生—儿科] R733.7[医药卫生—临床医学]