CAJ | 학술논문

目的分析腹腔镜阑尾切除术治疗小儿急性阑尾炎的临床效果.方法 2007年1月至2011年1月,对160例小儿急性阑尾炎实施手术,其中腹腔镜阑尾切除术(LA组)和开腹阑尾切除术(OA组)各80例,比较2组手术情况和疗效.结果所有患儿手术过程均顺利,无出血、肠瘘和残株炎等严重并发症发生.2组手术时间差异无统计学意义(P＞0.05),但是在术中出血量、术后进食时间、肠功能恢复时间、术后住院时间、术后中性粒细胞百分比、术后疼痛及切口感染率情况上,LA组均低于OA组,差异均有统计学意义[(8±6)ml比(12 ±4)ml,(8±2)h比(48 ±8)h,(29 ±7)h比(49±10)h,(3.5±2.8)d比(8.4±3.6)d,(0.68±0.08)比(0.78 ±0.12),2.50％ (2/80)比28.75％ (23/80),2.5％ (2/80)比25.0％ (20/80),均P＜0.05].结论 LA治疗小儿急性阑尾炎是安全可靠的,并发症少,同时创伤小、恢复快、住院时间短.
목적 분석복강경란미절제술치료소인급성란미염적림상효과.방법 2007년1월지2011년1월,대160례소인급성란미염실시수술,기중복강경란미절제술(LA조)화개복란미절제술(OA조)각80례,비교2조수술정황화료효.결과 소유환인수술과정균순리,무출혈、장루화잔주염등엄중병발증발생.2조수술시간차이무통계학의의(P＞0.05),단시재술중출혈량、술후진식시간、장공능회복시간、술후주원시간、술후중성립세포백분비、술후동통급절구감염솔정황상,LA조균저우OA조,차이균유통계학의의[(8±6)ml비(12 ±4)ml,(8±2)h비(48 ±8)h,(29 ±7)h비(49±10)h,(3.5±2.8)d비(8.4±3.6)d,(0.68±0.08)비(0.78 ±0.12),2.50％ (2/80)비28.75％ (23/80),2.5％ (2/80)비25.0％ (20/80),균P＜0.05].결론 LA치료소인급성란미염시안전가고적,병발증소,동시창상소、회복쾌、주원시간단.
Objective To observe laparoscopic appendectomy (LA) for acute appendicitis in children.Methods A total of 160 children with acute appendicitis from Jan 2000 to Jan 2011 were given either LA(LA group,n =80) or open appendectomy (OA) (OA group,n =80).The surgical outcomes and curative effects were compared between the two groups.Results The operation was successfully completed in two groups.No bleeding,intestinal fistula or stump appendicitis was seen.There were no differences in the operation time between the LA group and the OA group.However,the intraoperative blood loss,the time of resuming taking food,intestinal function recovery time,postoperative hospital stay,percentage of neutrophils,the rate of post operative incision infection and postoperative pain in LA group were better than those in the OA group [ (8 ±6)ml vs ( 12 ±4)ml,(8 ±2)h vs (48±8)h,(29±7)h vs (49±l0)h,(3.5 ±2.8)d vs (8.4±3.6)d,(0.68±0.08) vs (0.78±0.12),2.50％(2/80) vs28.75％(23/80),2.5％(2/80) vs 25.0％(20/80),P＜0.05].Conclusion LA is safe and reliable in treatment of acute appendicitis in children with less comphcations and trauma,faster recovery and shorter hospital stay.