摘要
目的对比腹腔镜和开腹阑尾炎切除术治疗小儿复杂性阑尾炎的临床疗效。方法选取140例小儿复杂性阑尾炎为研究对象并收集其临床资料,采用腹腔镜阑尾切除术者78例,归为研究组,采用开腹阑尾切除术者62例,归为对照组,比较分析两组的手术情况及疗效。结果①研究组的平均手术时间为(106.5±15.0)min,较对照组的(86.1±12.7)min长(P<0.01);②研究组的术后肛门排气时间及住院天数均较对照组短[(27.1±8.2)h vs(40.5±9.3)h、(6.2±2.0)d vs(10.3±3.8)d],P均<0.01;③研究组的术后并发症发生率为7.7%(6/78),低于对照组的19.4%(12/62)(P<0.05)。结论腹腔镜阑尾炎切除术治疗小儿复杂性阑尾炎创伤小,疗效满意,并发症少,值得临床推广应用。
Objective To compare laparoscopic appendectomy with open appendectomy in the treatment of complicat- ed appendicitis. Methods The clinical data of 140 children with complicated appendicitis were studied. Seventy- eight cases treated by laparoscopic appendectomy were divided into the research group, while 62 cases treated by open appendectomy were divided into the control group, and the curative effects of the two groups were compared. Results ①The operative time of the research group was （106.5 ± 15.0） min, significandy longer than that in the control group （86.1 ±12.7） min, （P 〈 0.01）. ②The exhaust time and the average length of stay of the research were both shorter than those in the control group[（27.1±8.2） h vs （40.5±9.3）, （6.2±2.0） d vs （10.3 ± 3.8） d], P 〈 0.01. ③The postopera- tive complication rate was 7.7% （6/78）, significantly lower than the control group＇s 19.4% （12/62）, P 〈 0.05. Conclu- sion Laparoscopic appendectomy is a beneficial operative procedure for complicated appendicitis, which means that it is worthy of clinical application.
出处
《中国现代医生》
2013年第23期131-132,共2页
China Modern Doctor
关键词
小儿
复杂性阑尾炎
腹腔镜
Children
Complicated appendicitis
Laparoscopy
