中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2015年
3期
80-81,86
,共3页
小儿急性阑尾炎%腹腔镜阑尾切除术%开腹阑尾切除术
小兒急性闌尾炎%腹腔鏡闌尾切除術%開腹闌尾切除術
소인급성란미염%복강경란미절제술%개복란미절제술
Children with acute appendicitis%Laparoscopic appendectomy%Open appendectomy
目的：研究腹腔镜阑尾切除术与开腹阑尾切除术治疗小儿急性阑尾炎的效果。方法选取本院2011年4月~2014年6月收治的小儿急性阑尾炎患者82例,随机分为实验组和对照组。实验组患儿给予腹腔镜阑尾切除术进行治疗,对照组则采取开腹阑尾切除术治疗,比较两组患者的手术情况及并发症情况。结果实验组与对照组的手术时间分别为(40.3±10.6)、(45.5±13.7)min,差异无统计学意义(P>0.05)。实验组术中出血量少于对照组,术后排气时间、住院时间均短于对照组(P<0.05)。实验组术后切口感染、腹腔脓肿、肠梗阻、术后瘢痕及腹腔残余感染发生率均显著低于对照组,差异有统计学意义(P<0.05)。结论腹腔镜阑尾切除术具有操作简单、创伤小、恢复快、并发症少等优点,是治疗小儿急性阑尾炎较为理想的治疗方式。
目的：研究腹腔鏡闌尾切除術與開腹闌尾切除術治療小兒急性闌尾炎的效果。方法選取本院2011年4月~2014年6月收治的小兒急性闌尾炎患者82例,隨機分為實驗組和對照組。實驗組患兒給予腹腔鏡闌尾切除術進行治療,對照組則採取開腹闌尾切除術治療,比較兩組患者的手術情況及併髮癥情況。結果實驗組與對照組的手術時間分彆為(40.3±10.6)、(45.5±13.7)min,差異無統計學意義(P>0.05)。實驗組術中齣血量少于對照組,術後排氣時間、住院時間均短于對照組(P<0.05)。實驗組術後切口感染、腹腔膿腫、腸梗阻、術後瘢痕及腹腔殘餘感染髮生率均顯著低于對照組,差異有統計學意義(P<0.05)。結論腹腔鏡闌尾切除術具有操作簡單、創傷小、恢複快、併髮癥少等優點,是治療小兒急性闌尾炎較為理想的治療方式。
목적：연구복강경란미절제술여개복란미절제술치료소인급성란미염적효과。방법선취본원2011년4월~2014년6월수치적소인급성란미염환자82례,수궤분위실험조화대조조。실험조환인급여복강경란미절제술진행치료,대조조칙채취개복란미절제술치료,비교량조환자적수술정황급병발증정황。결과실험조여대조조적수술시간분별위(40.3±10.6)、(45.5±13.7)min,차이무통계학의의(P>0.05)。실험조술중출혈량소우대조조,술후배기시간、주원시간균단우대조조(P<0.05)。실험조술후절구감염、복강농종、장경조、술후반흔급복강잔여감염발생솔균현저저우대조조,차이유통계학의의(P<0.05)。결론복강경란미절제술구유조작간단、창상소、회복쾌、병발증소등우점,시치료소인급성란미염교위이상적치료방식。
Objective To study the effects of laparoscopic appendectomy and open appendectomy in the treatment of children with acute appendicitis. Methods 82 children with acute appendicitis of our hospital from April to 2011 to June 2014 were selected and randomly divided into experimental group and control group.Laparoscopic appendectomy was used in experimental group,open appendectomy was applied in control group.The surgery and complication were compared between two groups. Results The operation time in experimental group and control group was (40.3±10.6), (45.5±13.7) min respectivey,with no statistical difference(P>0.05).The blood loss of operation in experimental group was less than that in control group,postoperative exhaust time and hospital stay in experimental group was shorter than that in control group respectively(P<0.05).The incidence of postoperative incision infection,celiac abscess,intestinal obstruc-tion,postoperative scar and residual cavity infection in experimental group was lower than that in control group respec-tively,with statistical difference (P<0.05). Conclusion Laparoscopic appendectomy has simple operation,less trauma, quicker recovery,less complication.It is better treatment option for children with acute appendicitis.
