摘要
目的探讨和评价可吸收夹和丝线结扎法腹腔镜小儿阑尾切除术的临床意义。方法 2006年1月1日～2011年1月1日,本院共收治小儿阑尾炎159例,行丝线结扎法腹腔镜小儿阑尾切除术79例,同时期行可吸收夹法腹腔镜小儿阑尾切除术80例。对比分析实施可吸收夹和丝线结扎法腹腔镜阑尾切除术在小儿阑尾炎手术中的特点,观察两组患者的手术效果、并发症、住院费用。结果两者比较,在手术时间、术后恢复、手术操作、术后并发症差异无统计学意义(P>0.05);住院住院费用差异具有统计学意义(P<0.01)。结论可吸收夹和丝线结扎法腹腔镜小儿阑尾切除术,手术操作和临床疗效基本相同,但丝线结扎法住院费用低廉,值得在基层医院推广。
Objective To explore and evaluate the clinical significance of absorbable clips and silk thread ligation method laparoscopic pediatric appendectomy. Methods There were 159 cases of pediatric appendicitis patients in our hospital from January 1st 2006 to January 1st 2011.79 cases of children were treated with silk thread ligature method laparoscopic pediatric appendectomy, at the same time 80 cases of of children were treated with absorble clip method laparoscopic pedi- atric appendectomy. The characteristics between implementation of absorble clip and silk thread ligature method laparo- scopic appendectomy in pediatric appendicitis operation were compared, and the operation effect, complication, hospitaliza- tion expense of the two groups were observed. Results The operative time, postoperative recovery, surgery operation, post- operative complications between the two groups were compared, the differences were not statistically significant （P 〉 0.05）, and there was significant difference in hospitalization expense of the two groups （P 〈 0.01）. Conclusion The surgery opera- tion and clinical effects between absorbable clips and silk thread ligation method laparoscopic pediatric appendectomy, but silk thread ligation method has lower hospitalization expense, which is worthy of clinical promotion in primary hospital.
出处
《中国当代医药》
2012年第19期63-64,共2页
China Modern Medicine
关键词
可吸收夹
阑尾切除术
腹腔镜
儿童
Absorbable clips
Appendectomy
Laparoscope
Children
