腹腔镜治疗儿童急性阑尾炎29例临床分析  

Clinical analysis of laparoscopic treatment for children with acute appendicitis

作　　者：柳利[1] 李敏[2] 王颖[3] 

机构地区：[1]内蒙古巴彦淖尔市医院肝胆外科,内蒙古巴彦淖尔015000 [2]内蒙古巴彦淖尔市医院门诊部 [3]内蒙古巴彦淖尔市医院肾内科

出　　处：《包头医学院学报》2016年第1期23-24,共2页Journal of Baotou Medical College

摘　　要：目的:评估腹腔镜治疗儿童急性阑尾炎的临床分析。方法:回顾性分析儿童急性阑尾炎29例患者,自2010年1月至2013年1月行腹腔镜下治疗,分析患者的临床治疗结果。结果:29例患者均顺利完成手术,无中转开腹。术后患者无肠漏,无腹腔出血,无粘连性肠梗阻、阑尾残株炎、腹腔感染及切口疝等并发症发生。患者中无死亡病例,均痊愈出院。结论:腹腔镜治疗儿童急性阑尾炎具有创伤小、美观、恢复快、不增加术后腹腔脓肿发生率、住院时间短、术后切口感染率低等优点,具有开腹阑尾切除术无法比拟的优势,值得推广。Objective：To evaluate the clinical analysis of laparoscopic treatment for children with acute appendicitis .Methods：29 children with acute appendicitis, who were treated by using laparoscope from January 2010 to January 2013, were retrospectively analyzed, with the results of clinical treatment analyzed.Results：All the operations were done successfully without any conversion to laparotomy.There were no complications such as intestinal leakage, abdominal bleeding, adhesive intestinal obstruction, stump appendix, abdominal cavity infection and incision hernias. All the patients recovered with no death .Conclusion：Laparoscopic treatment for children with acute appendicitis has the advantages of small inci-sion, beautiful outlooks, rapid recovery, not increasing the incidence of postoperative abdominal abscess, short hospital stay and low rates of post-operative incision infection, etc., which is incomparably better than appendectomy.Thus it is worth promoting.

关 键 词：腹腔镜微创手术 阑尾切除术 儿童急性阑尾炎 

分 类 号：R726.5[医药卫生—儿科]