腹腔镜微创技术与传统开放手术治疗小儿阑尾炎的临床效果比较  

Comparasion of clinical effect of laparoscopic minimally invasive surgery and traditional open surgery in the treatment of pediatric appendicitis

作　　者：陈锐源[1] 李伟坚[1] 李志雄[1] 陈江谊[1] 陆金荣[1] 陈铭斌[1] 史川[1] 曹志清[1] 

机构地区：[1]广东省江门市中心医院小儿外科,广东江门529000

出　　处：《临床普外科电子杂志》2016年第3期13-16,共4页Journal of General Surgery for Clinicians(Electronic Version)

摘　　要：目的对比分析腹腔镜微创手术和传统手术治疗小儿阑尾炎的临床效果。方法将2014年4月至2015年9月本院收治的阑尾炎患儿74例,用随机数字表法分成两组,对照组(用传统开放性手术治疗)和观察组(用腹腔镜微创手术治疗)各37例,对比两组疗效。结果观察组的手术时间、术中出血量、肛门排气时间和住院时间分别为(46.48±5.19)分、(47.12±5.43)ml、(19.54±3.21)小时、(6.54±1.08)天,均显著低于对照组水平(P均<0.05);两组并发症率比较并无统计学差异(P>0.05)。结论相较于传统开放性手术,腹腔镜微创手术治疗小儿阑尾炎的效果确切,对于患儿的术后康复有积极作用,具有推广和应用价值。Objective To compare and analyze the clinical effects of laparoscopic minimally invasive surgery and traditional open surgery in the treatment of pediatric appendicitis. Methods 74 children with pediatric appendicitis and who accepted treatments in our hospital from April 2014 to September 2015 were divided into two groups according to random number table. In the control group （with the traditional open surgery） and in the observation group （with the laparoscopic minimally invasive surgery）, with 37 patients in each group. Then, the clinical effects of two groups of patients were compared. Results The operation time, bleeding volume, anal exhaust time and hospitalization time in the observation group respectively were （46.48±5.19） min,（47.12 ±5.43） m1,（19.54 ±3.21）h, （6.54 ±1.08）d, which was significantly lower than the level of the control group（P〈 0.05）.There was no significant difference in the rates of complications between the two groups （P〉0.05）. Conclusion Compared with the traditional open surgery, the effect of laparoscopie minimally invasive surgical in treatment of pediatric appendicitis is effective, which has positive effect on postoperative rehabilitation of children, thus it has the value to be promoted and applied.

关 键 词：腹腔镜微创技术 传统开放手术 小儿阑尾炎 临床治疗效果 

分 类 号：R472.3[医药卫生—护理学]