摘要
目的:探索微创术式治疗小儿急性阑尾炎的效果。方法:在某院于2013年3月~2015年3月间收治的急性阑尾炎患儿中随机选出96例作为观察对象,根据家属选择的手术方法将其分入到观察组和对照组中,对照组中患者48例采用开腹手术治疗,观察组48例患者采用微创腹腔镜手术治疗,对比分析两组患者的手术治疗效果。结果:观察组患儿的术中出血量少于对照组,且术后肛门排气时间、切口长度、住院时间均比对照组短,P<0.05;观察组患儿的并发症发生率4.17%低于对照组的16.67%,P<0.05;观察组患儿的手术时间略长于对照组,但无统计学意义,P>0.05。结论:在小儿急性阑尾炎的治疗中,腹腔镜微创术式对患儿的损伤小,利于患儿的术后康复,在符合手术指征的情况下应尽量选择该术式治疗。
Objective：To explore minimally the effect of invasive surgical in the treatment of children with acute appendicitis.Methods： 96 cases of children with acute appendicitis treated in a hospital from March 2013 to March 2015 were randomly selected and divided into observation group and control group as according to the surgical methods.The control group （48 patients） was given open surgery,and the observation group （48 patients） were treated with minimally invasive laparoscopic surgery,then the surgical treatment effect of two groups was compared and analyzed. Results：The blood loss of observation group was less than that of control group, and the postoperative anal exhaust time, incision length, and hospital stays were shorter than those of control group,P〈0.05 ;The incidence of complications of observation group （4.17%） was lower than that of control group （16.67%）,P〈0.05;The operative time of observation group was slightly longer than that of control group, but with no statistical significance, P〉0.05.Conclusion：In the treatment of children with acute appendicitis, the surgical injury of patients treated with laparoscopic minimally invasive is small children, which is in favor of postoperative rehabilitation, so it should be chosen as far as possible in accordance with the indications of surgery.
作者
都敏
张环
黄海球
熊进文
高峰
Du Min et al(Department of General Surgery ,Longgang District People＇s Hospital ,Shenzhen 518116)
出处
《数理医药学杂志》
2017年第3期371-372,共2页
Journal of Mathematical Medicine
关键词
腹腔镜
微创
小儿急性阑尾炎
并发症
aparoscopy
minimally invasive
aeute appendicitis in children
complication
