论文部分内容阅读
目的探讨阑尾内翻切除术在小儿外科手术中的运用。方法回顾2009年5月-2011年5月小儿外科收治的89例采用内翻法行阑尾切除术患儿的一般资料、手术方法和术后恢复情况。结果所有患儿因肠套叠、嵌顿疝或肠旋转不良而入院行手术治疗,术中除处理原发疾病外均行内翻切除阑尾,术后未使用抗生素,均未发生腹腔及伤口感染,术后无并发症,恢复良好出院。76例(85.4%)患儿获得随访,随访时间2个月～3年,平均1.5年。随访期间未发生任何并发症。结论部分小儿腹部手术需附加阑尾切除术时可采用阑尾内翻切除法。此术式具有耗时短、操作简便易行、避免盆腹腔污染、减少抗生素使用等优点。
Objective To investigate the use of appendectomy in pediatric surgery. Methods From May 2009 to May 2011, 89 children admitted to pediatric surgery underwent appendectomy were retrospectively reviewed. The general data, surgical methods and postoperative recovery were retrospectively analyzed. Results All patients were admitted to the hospital for intussusception, incarcerated hernia or bowel dysplasia. All the patients underwent surgical resection of the appendix except for the treatment of primary disease. No antibiotics were used after operation, and abdominal and wound infections did not occur. No postoperative complications, recovered well discharged. 76 cases (85.4%) were followed up for 2 months to 3 years with an average of 1.5 years. No complications occurred during follow-up. Conclusion Partial appendectomy can be performed with appendectomy. This procedure has the advantages of short time-consuming, easy to operate, avoid pelvic peritoneal contamination and reduce the use of antibiotics.