腹腔镜手术治疗小儿阑尾周围脓肿的效果  

EFFECT OF LAPAROSCOPIC SURGERY IN TREATMENT OF PERIAPPENDICEAL ABSCESS IN CHILDREN

作　　者：于丹[1] 郭立明[1] 鹿洪亭[1] YU Dan;GUO Liming;LU Hongting(Department of Pediatric General Surgery,Qingdao Women and Children’s Hospital,Qingdao University,Qingdao 266034,China)

机构地区：[1]青岛大学附属青岛市妇女儿童医院小儿普外科,山东青岛266034

出　　处：《精准医学杂志》2023年第6期535-537,541,共4页Journal of Precision Medicine

基　　金：青岛市科技局民生科技计划项目(18-6-1-71-nsh)。

摘　　要：目的探讨腹腔镜手术治疗小儿阑尾周围脓肿的效果。方法回顾性分析我院小儿普外科2017年1月—2023年5月住院的采用三孔法行腹腔镜手术治疗的阑尾周围脓肿患儿106例,统计并分析患儿的年龄、性别、发病时间、临床症状、辅助检查结果、手术及术后复查情况。结果106例患儿术中出血量(8.55±3.52)mL,手术时间(65.05±10.80)min,术后住院时间(10.60±1.50)d;其中术后切口感染5例,腹腔残余脓肿8例,均经抗炎保守治疗痊愈;术后病理证实为阑尾坏疽者82例,化脓性炎症者24例。所有患儿出院后第1、3、6个月于我院门诊复查,均无明显阳性体征,B超提示腹腔内未见明显渗液及腹部包块。结论腹腔镜手术治疗小儿阑尾周围脓肿出血量少、住院时间短、术后并发症少,推荐用于小儿阑尾周围脓肿的治疗。Objective To investigate the effect of laparoscopic surgery in the treatment of periappendiceal abscess in children.Methods A retrospective analysis was performed for 106 children with periappendiceal abscess who underwent laparosco-pic three-hole surgery in Department of Pediatric General Surgery in our hospital from January 2017 to May 2023.These children were analyzed in terms of age,sex,time of onset,clinical symptoms,auxiliary examination,surgery,and postoperative review.Results The 106 children had a mean intraoperative blood loss of(8.55±3.52)mL,an operation duration of(65.05±10.80)min,and a length of postoperative hospital stay of(10.60±1.50)d.Among these children,5 had postoperative incision infection and 8 had residual abscess in the abdominal cavity,all of whom were cured after conservative anti-inflammatory treatment.Postoperative pathology showed 82 cases of appendiceal gangrene and 24 cases of suppurative inflammation.All children underwent reexamination at the outpatient service of our hospital at 1,3,and 6 months after discharge;physical examination showed no obvious positive signs,and ultrasound showed no obvious fluid seepage and abdominal mass in the abdominal cavity.Conclusion Laparoscopic surgery has the advantages of low intraoperative blood loss,a short length of hospital stay,and few postoperative complications in the treatment of periappendiceal abscess in children,and therefore,it is recommended for the treatment of such children.

关 键 词：腹部脓肿 腹腔镜检查 阑尾切除术 治疗结果 儿童 

分 类 号：R726.1[医药卫生—儿科]