超声引导下腹腔镜阑尾切除术在急性阑尾炎患儿中的应用效果分析  

Analysis on Application Effect of Ultrasound-Guided Laparoscopic Appendectomy in Children with Acute Appendicitis

作　　者：袁彩弟 Yuan Caidi(Tianjin Xiqing Hospital,Tianjin 300380,China)

机构地区：[1]天津市西青医院,天津300380

出　　处：《中国社区医师》2024年第18期29-31,共3页Chinese Community Doctors

摘　　要：目的:分析超声引导下腹腔镜阑尾切除术在急性阑尾炎患儿中的应用效果。方法:选取2021年3月—2023年5月天津市西青医院收治的急性阑尾炎患儿90例作为研究对象,随机分为对照组和观察组,各45例。对照组实施单纯腹腔镜阑尾切除术,观察组实施超声引导下腹腔镜阑尾切除术。比较两组治疗效果。结果:观察组术中出血量少于对照组,手术时间及住院时间短于对照组,首次排气时间早于对照组,差异有统计学意义(P<0.05)。观察组并发症总发生率低于对照组,差异有统计学意义(P=0.016)。术前,两组降钙素原、白细胞介素-6、C反应蛋白水平比较,差异无统计学意义(P>0.05);术后,两组降钙素原、白细胞介素-6、C反应蛋白水平低于术前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论:超声引导下腹腔镜阑尾切除术在急性阑尾炎患儿中的应用效果显著,可缩短手术时间,减少术中出血量及并发症,促进患者康复,降低炎性因子水平。Objective:To analyze the application effect of ultrasound-guided laparoscopic appendectomy in children with acute appendicitis.Methods:A total of 90 children with acute appendicitis admitted to Tianjin Xiqing Hospital from March 2021 to May 2023 were selected as the study subjects.They were randomly divided into control group and observation group,with 45 cases in each group.The control group implemented laparoscopic appendectomy alone,while the observation group implemented ultrasound-guided laparoscopic appendectomy.The treatment effects were compared between the two groups.Results:The intra⁃operative blood loss in the observation group was less than that in the control group,the operation time and the length of hospital stay in the observation group were shorter than those in the control group,the first exhaust time in the observation group was ear⁃lier than that in the control group,and the difference was statistically significant(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P=0.016).Before op⁃eration,there was no significant difference in the levels of procalcitonin,interleukin-6 and C-reactive protein between the two groups(P>0.05).After operation,the levels of procalcitonin,interleukin-6 and C-reactive protein in the two groups were lower than those before operation,and the levels in the observation group were lower than those in the control group,with a statistically significant difference(P<0.05).Conclusion:The application of ultrasound-guided laparoscopic appendectomy in children with acute appendicitis has a significant effect,which can shorten the operation time,reduce the intraoperative blood loss and complica⁃tions,promote the recovery of patients,and reduce the levels of inflammatory factors.

关 键 词：腹部超声 腹腔镜 急性阑尾炎 急腹症 

分 类 号：R726.5[医药卫生—儿科]