腹腔镜治疗小儿急性阑尾炎疗效观察

Clinical analysis of laparoscopic in treatment of acute appendicitis in children

目的探讨腹腔镜治疗小儿急性阑尾炎的临床价值。方法将120例小儿急性阑尾炎纳入研究,按入院的先后顺序随机分为观察组与对照组,每组60例。观察组给予腹腔镜下阑尾切除术,对照组给予开腹阑尾切除术,比较两组术中、术后及随访的各项指标。结果观察组的手术时间、住院费用较对照组高,而肛门排气时间、住院时间、止疼药使用率、并发症发生率较对照组低,组间比较差异有统计学意义(P<0.05)。结论腹腔镜治疗小儿急性阑尾炎具有创伤小、恢复快、术后并发症少等优点,是一种安全、可靠、有效的治疗方法,值得临床推广应用。

Objective To explore the clinical efficacy of laparoscopic in treatment of acute appendicitis in children. Methods According to the order of admission, 100 patients with acute appendicitis in children were randomly divided into observation group and control group （n=60）. Observation group was given laparoseopic appendectomy surgery and the control group were given abdominal appendectomy. The clinical parameters of postoperative and follow-up were compared between the two groups. Results The observation group was higher than the control group at the operative time, hospital costs, lower than the control group in the anal exhaust time, hospital stay, pain medication usage, complication rate. The difference was significant between the two groups （P〈0.05）. Conclusion Laparoscopie in treatment of children with acute appendicitis with less trauma, quicker recovery and fewer complications, is a safe, reliable and effective treatment.