腹腔镜阑尾切除术对穿孔性阑尾炎患儿手术指标及炎症因子的影响  

Effect of laparoscopic appendectomy on surgical indicators and inflammatory factors in children with perforating appendicitis

作　　者：侯鹏 褚福英 HOU Peng;CHU Fuying(Department of Surgery,Yinping Town Central Health Center,Yicheng District,Zaozhuang City,Shandong Province,Zaozhuang 277000,China;Department of Laboratory,Yinping Town Central Health Center,Yicheng District,Zaozhuang City,Shandong Province,Zaozhuang 277000,China)

机构地区：[1]山东省枣庄市峄城区阴平镇中心卫生院外科,山东枣庄277000 [2]山东省枣庄市峄城区阴平镇中心卫生院化验室,山东枣庄277000

出　　处：《妇儿健康导刊》2024年第19期50-53,共4页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

摘　　要：目的分析腹腔镜阑尾切除术对穿孔性阑尾炎患儿手术指标及炎症因子的影响。方法选取2021年7月至2023年8月峄城区阴平镇中心卫生院收治的82例穿孔性阑尾炎患儿,按随机数字表法将其分为两组,每组各41例。对照组采用传统开腹手术,观察组采用腹腔镜阑尾切除术,比较两组手术指标、血清C反应蛋白(CRP)和降钙素原(PCT)水平、并发症总发生率。结果观察组手术出血量少于对照组,切口长度、术后排气时间及住院时间短于对照组(P<0.05);两组术后CRP、PCT水平均较术前升高,但观察组低于对照组(P<0.05);观察组并发症总发生率低于对照组(P<0.05)。结论与传统开腹手术相比,腹腔镜阑尾切除术治疗穿孔性阑尾炎创伤更小,并发症更少,更有利于患儿术后康复。Objective To analyze the effect of laparoscopic appendectomy on surgical indicators and inflammatory factors in children with perforating appendicitis.Methods A total of 82 children with perforating appendicitis admitted to Yinping Town Central Health Center,Yicheng District from July 2021 to August 2023 were selected and divided into two groups by the random number table method,with 41 cases in each group.The control group underwent traditional open surgery,while the observation group underwent laparoscopic appendectomy.The surgical indexes,serum C-reactive protein(CRP)and procalcitonin(PCT)levels,and the total incidence of complications were compared between the two groups.Results The amount of blood loss in the observation group was less than that in the control group,the incision length,postoperative exhaust time,and hospitalization time were shorter than those in the control group(P<0.05).The levels of CRP and PCT in both groups after operation were higher than those before operation,but those in the observation group were lower than those in the control group(P<0.05).The total complication rate of observation group was lower than that of control group(P<0.05).Conclusion Compared with traditional open surgery,laparoscopic appendectomy for perforating appendicitis has less trauma,fewer complications,and is more conducive to postoperative rehabilitation of children.

关 键 词：穿孔性阑尾炎 腹腔镜阑尾切除术 炎症因子 并发症 

分 类 号：R726.1[医药卫生—儿科]