腹腔镜阑尾切除术和开腹阑尾切除术治疗小儿复杂性阑尾炎的疗效对比  

Comparison on the Effects of Laparoscopic Appendectomy and Open Appendectomy for Pediatric Complicated Appendicitis

作　　者：陈立健[1] 刘朝阳[1] 周小渔[1] 尹强[1] 

机构地区：[1]湖南省儿童医院,湖南长沙410007

出　　处：《临床医学工程》2015年第9期1131-1132,共2页Clinical Medicine & Engineering

摘　　要：目的对比研究腹腔镜阑尾切除术和开腹阑尾切除术治疗小儿复杂性阑尾炎的临床效果。方法选取我院收治的74例复杂性阑尾炎患儿作为研究对象,根据手术方式的不同分为两组(各37例),开腹组行开腹阑尾切除术,腹腔镜组行腹腔镜阑尾切除术,比较两组患儿的手术疗效。结果两组患儿均顺利完成手术,腹腔镜组无一例中转开腹。腹腔镜组患儿的手术时间、下床活动时间、肛门排气时间、住院时间均显著短于开腹组,术中出血量明显少于开腹组(P<0.05);腹腔镜组患儿的术后疼痛、切口感染、肠粘连、腹腔脓肿发生率均显著低于开腹组(P<0.05)。结论相比于开腹阑尾切除术,腹腔镜阑尾切除术治疗小儿复杂性阑尾炎的创伤更小、并发症发生率更低、术后恢复更快、住院时间更短,是一种安全、有效的治疗手段。Objective To compare the clinical effects of laparoscopic appendectomy and open appendectomy in the treatment of children with complicated appendicitis. Methods 74 cases of children with complicated appendicitis admitted to our hospital were selected as research objects, and divided into the open surgery group （n = 37, open appendectomy） and the laparoscope group （n = 37, laparoscopic appendectomy）. The surgical effects of two groups were compared. Results All 74 cases were operated smoothly, and no intra-operative conversion to open surgery occurred. The mean operation time, ground activity time, anal exhaust time and length of hospital stay of laparoscope group were significantly shorter than those of open surgery group, and the intraoperative blood loss of laparoscope group was significantly less than that of open surgery group （all P 〈0.05）. The incidences of postoperative pain, wound infection, intestinal adhesion, abdominal abscess of laparoscope group were significantly lower than those of open surgery group （P〈0.05）. Conclusions Compared with open appendectomy, laparoscopic appendectomy has less trauma, lower incidence of complications, faster postoperative recovery and shorter hospital stay for children with complicated appendicitis, which is a safe and effective treatment.

关 键 词：小儿复杂性阑尾炎 开腹阑尾切除术 腹腔镜阑尾切除术 

分 类 号：R574.61[医药卫生—消化系统]