儿童腹腔镜与传统开腹阑尾切除术的效果观察及护理

目的探讨儿童腹腔镜与传统开腹阑尾切除术对患儿的影响。方法将210例阑尾炎患儿分为腹腔镜组与传统开腹组,对两组手术的时间、术中出血情况、术后恢复情况等方面进行统计学处理和对比分析。结果两种手术均获成功,无并发症,效果满意。其中腹腔镜组在术中出血、住院时间及术后恢复方面均优于传统开腹组(均P<0．05)。结论腹腔镜阑尾切除术安全、有效,节约医疗和劳动力成本,把更多的时间还给患儿,减少护士基础护理的负担。

Objective To discuss the influence of children＇s laparoscopic appendectomy and traditional open appendectomy toward the affected children. Methods Two hundred and ten cases of appendix affected children were divided into two groups of laparoscopic appendectomy and traditional open appendectomy. Statistic analysis was performed toward the operation time, bleeding situation during operation and recovery situation after operation. Results Operations in the two groups succeeded without any simultaneous symptoms. The results were satisfying. Meanwhile, laparoscopic appendectomy group had a better performance in bleeding during operation, hospital in time and recovery after operation than traditional open appendectomy group （P 〈 0.05）. Conclusion Laparoscopic appendectomy can reduce the cost of medical and labor, decrease the burden of nurses＇ basic nursing work and is safer and more effective.