CAJ | 학술논문

目的：总结探讨腹腔镜在小儿阑尾切除术中的临床价值。方法分析我院2007年7月至2014年1月间，作者主刀小儿阑尾切除术共计457例，其中腹腔镜阑尾切除术351例，传统开腹手术106例，通过两组手术在切口美观度，住院时间，手术时间，失血量，术后疼痛程度（采用Wong-Baker脸测试），术后并发症（切口感染率，腹腔脓肿形成率），术后首次进食时间，抗生素使用情况的比较，分析腹腔镜在小儿阑尾切除术中的优缺点。结果腹腔镜阑尾切除术患儿在切口美观度，住院时间，失血量，术后疼痛程度，切口感染率，术后首次进食时间及抗生素使用情况均明显优于开腹组，而术后腹腔脓肿形成率则略高于开腹组。结论腹腔镜小儿阑尾切除术操作简单，安全可行，与开腹小儿阑尾切除术相比较，具有更加明显的临床优势。
목적：총결탐토복강경재소인란미절제술중적림상개치。방법분석아원2007년7월지2014년1월간，작자주도소인란미절제술공계457례，기중복강경란미절제술351례，전통개복수술106례，통과량조수술재절구미관도，주원시간，수술시간，실혈량，술후동통정도（채용Wong-Baker검측시），술후병발증（절구감염솔，복강농종형성솔），술후수차진식시간，항생소사용정황적비교，분석복강경재소인란미절제술중적우결점。결과복강경란미절제술환인재절구미관도，주원시간，실혈량，술후동통정도，절구감염솔，술후수차진식시간급항생소사용정황균명현우우개복조，이술후복강농종형성솔칙략고우개복조。결론복강경소인란미절제술조작간단，안전가행，여개복소인란미절제술상비교，구유경가명현적림상우세。
Objetive To study the clinical value of laparoscopy in pediatric appendectomy. Meth-ods from July 2007 to June 201 3,the author's work,my a total of 457 cases of appendectomy with 351 cases of laparoscopic appendectomy and traditional open operation in 1 06 cases,through two groups of surgery in aes-thetic incision,length of hospital stay,operative time,blood loss,postoperative pain degree (the Wong-Baker face testing),postoperative complications (incision infection rate,the rate of abdominal abscess formation), for the first time after the meal time,the comparison of the usage of antibiotics,analysis of advantages and dis-advantages of laparoscopy in pediatric appendectomy. Results the laparoscopic appendectomy children in aes-thetic incision,hospitalization time,blood loss,postoperative pain degree,incision infection rate,postopera-tive time of food intake for the first time and the usage of antibiotics were significantly better than the open group,and postoperative abdominal abscess formation rate is slightly higher than the open group. Conclusions Laparoscopic appendectomy children simple operation,safe and feasible,compared with open appendectomy children,has more obvious clinical advantages.