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目的探讨阑尾切除在儿童慢性腹痛(chronic abdominal pain,CAP)中的应用及治疗效果。方法 28例CAP患儿,病程6～12个月,行标准化抗幽门螺杆菌、制酸及解痉治疗3个疗程以上无效,5例经传统式单纯阑尾切除,23例于腹腔镜诊断+阑尾切除术。结果术后随访2个月,26例腹痛症状消失,2例术后1个月仍有阵发性腹痛且经保守治疗无效,但2个月后均自行缓解。结论儿童CAP行阑尾切除治疗有效,阑尾切除术后腹痛症状消失与神经因素被抑制有关。
Objective To investigate the application of appendectomy in children with chronic abdominal pain (CAP) and its therapeutic effect. Methods 28 cases of CAP with a course of 6 to 12 months were treated with standardized anti-Helicobacter pylori, acid-producing and antispasmodic therapy for more than 3 courses of treatment, 5 cases of traditional appendectomy alone, 23 cases of laparoscopic diagnosis of appendectomy cut. Results The patients were followed up for 2 months. The symptoms of abdominal pain disappeared in 26 cases. Two cases had paroxysmal abdominal pain at 1 month after operation and were ineffective after conservative treatment. However, they all relieved spontaneously after 2 months. Conclusion CAP in children with appendectomy is effective. The disappearance of abdominal pain after appendectomy is related to the inhibition of neurological factors.