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目的观察腹腔镜手术治疗小儿急性阑尾炎的临床效果。方法选取医院收治的小儿急性阑尾炎患儿96例作为研究对象,随机分为对照组和观察组,每组48例。对照组采用传统开腹阑尾切除术治疗,观察组采用腹腔镜阑尾切除术治疗,观察2组手术情况与术后情况比较、并发症发生情况比较。结果观察组平均手术耗时、胃肠功能恢复时间、体温恢复正常时间以及住院天数均短于对照组,术中出血量少于对照组(P<0.01);观察组发生切口感染、术后瘢痕、粘连性肠梗阻及腹腔脓肿等并发症的发生率,均低于对照组(P<0.05或P<0.01)。结论小儿急性阑尾炎应用腹腔镜阑尾切除术治疗能够获得显著临床效果,患儿所受创伤小,可加快患儿恢复,减少并发症的发生,值得临床推广应用。
Objective To observe the clinical effect of laparoscopic surgery in children with acute appendicitis. Methods Ninety-six children with acute appendicitis in children admitted to hospital were selected as study subjects and randomly divided into control group and observation group, with 48 cases in each group. The control group was treated by traditional open appendectomy. The observation group was treated by laparoscopic appendectomy. The comparisons were compared between the two groups. Results The average operation time, gastrointestinal function recovery time, body temperature recovery time and hospitalization days in the observation group were shorter than those in the control group. The blood loss in the observation group was less than that in the control group (P <0.01). Incision infection and postoperative scar , Adhesive intestinal obstruction and abdominal abscess and other complications were lower than the control group (P <0.05 or P <0.01). Conclusion Laparoscopic appendectomy in children with acute appendicitis can achieve significant clinical results. Children with traumatic injuries are less likely to recover and reduce the incidence of complications, which deserves clinical application.