小儿穿孔性阑尾炎腹腔镜术后不置管引流可行性研究  

Feasibility study of non-drainage after laparoscopic appendectomy for pediatric perforated appendicitis

作　　者：曾亮[1] 李绪梅[1] 苏泽礼[1] 单振潮[1] 梁仁章 ZENG Liang;LI Xumei;SU Zeli;SHAN Zhenchao;LIANG Renzhang(General Hospital of Ningxia Medical University, Yinchuan 750004, Chin)

机构地区：[1]宁夏医科大学总医院小儿外科,宁夏银川750004

出　　处：《宁夏医学杂志》2018年第5期423-425,共3页Ningxia Medical Journal

摘　　要：目的探讨分析小儿穿孔性阑尾炎腹腔镜术后不置管引流的可行性。方法将拟行腹腔镜阑尾切除术的患儿随机分为置管引流组(104例)和不置管引流组(108例),对相关临床资料进行分析,比较2组患儿手术后治疗效果。结果不置管引流组患儿术后肛门排气时间及住院时间均短于置管引流组(P<0.05);2组术后随访6~12个月,不置管引流组术后切口感染率及术后粘连性肠梗阻发生率均低于置管引流组(P<0.05)。结论小儿穿孔性阑尾炎腹腔镜术后不置管引流可促进术后胃肠功能恢复,降低术后并发症发生率。Objective To study the feasibility of non-drainage for pediatric perforated appendicitis after laparoscopic appendectomy. Methods The clinical data of 212 patients with perforated appendicitis underwent laparoscopic appendectomy were analyzed,including 104 cases of drainage and 108 cases of non-drainage. The postoperative flatus time,hospital stay,hospital costs and the incidences of postoperative complications were compared between the two groups. Results The postoperative flatus time and hospital stay were shorter in non-drainage patients,and the differences were of statistical significant（ P〈 0. 05）. The wound infection and adhesive intestinal obstruction rate were lower in patients without drainage,compared with those patients with drainage,and the differences were of statistical significances（ P 〈0. 05）. There were no difference in hospital costs and abdominal abscess rate between the two groups（ P〉 0. 05）. Conclusion Non-drainage after laparoscopic appendectomy for pediatric perforated appendicitis can promote postoperative recovery,effectively reduce postoperative complications.

关 键 词：小儿 穿孔性阑尾炎 腹腔镜阑尾切除术 不置管引流 并发症 

分 类 号：R656.8[医药卫生—外科学]