摘要
目的探讨腹腔镜与开放性阑尾切除手术对急性阑尾炎患儿的临床治疗效果对比。方法收集我院2012年5月至2014年11月收治的急性阑尾炎患儿65例前瞻性研究且按是否接受腹腔镜切除术分为两组，开放组患儿实施开放性阑尾切除手术，腹腔镜组患儿实施腹腔镜阑尾切除手术，比较两组患儿围手术期临床资料、术后并发症与白细胞数目等。结果腹腔镜组患儿术中出血量、手术时间、下床活动时间、术后排气时间与住院时间显著低于开放组，差异具有统计学意义（P〈0．01）；腹腔镜组患儿术处感染、粘连性腹痛与粘连性肠梗阻发生率明显低于开放组，差异具有统计学意义（P〈0．05）；术后瘢痕与腹腔肿胀发生率显著性低于开放组，差异具有统计学意义（P〈0．01）；两组患儿手术后白细胞数目组间比较，差异具有统计学意义（P〈0．01）。结论腹腔镜阑尾切除手术对急性阑尾炎患儿临床治疗效果显著性优于传统开放性阑尾切除手术，具有借鉴性。
Objective To explore the for children with acute appendicitis. Methods clinical effects of laparoscopic versus open appendectomy 65 children with acute appendicitis admitted in our hospital from May, 2012 to November, 2014 were collected for prospective study and were divided into an open group and a laparoscopic group according to whether or not taking laparoscopic resection. The open group were treated with open appendectomy and the laparoscopic group laparoscopic appendectomy. The peri-operative clinical data, postoperative complications, and white blood cell number were compared between these two groups. Results The intra-operative bleeding volume was obviously lower and the operation time, time for activity off bed, postoperative exhaustion time, and hospital stay were much shorter in the laparoscopic group than in the open group, with statistical differences（P 〈0.01）. The incidences of surgical site infection, adhesive abdominal pain, and adhesive intestinal obstruction were significantly lower in the laparoscopic group than in the open group, with statistical differences（P 〈0.05）. The incidences of postoperative scar and abdominal swelling were significantly lower in the laparoscopic group than in the open group, with statistical differences（P 〈0.01）. There was a statistical difference in white blood cell number after the operation between these two groups（P 〈 0.01）. Conclusion Laparoscopic appendectomy is more effective than open appendectomy for children with acute appendicitis.
出处
《国际医药卫生导报》
2015年第21期3146-3149,共4页
International Medicine and Health Guidance News
