小儿腹腔镜阑尾切除与开腹阑尾切除的临床对比研究

Comparative study on laparoscopic appendectomy and open appendectomy in children

目的 对比研究小儿腹腔镜阑尾切除术（LA）与传统开腹阑尾切除术（OA）的临床疗效及安全性.方法 回顾性分析2009年1月～2012年12月期间进行LA和OA的93例小儿阑尾炎患者的临床资料,对两组手术时间、术中出血情况、术后恢复情况等进行统计对比分析.结果 两组患儿手术及恢复顺利,术后无严重并发症.两组手术时间及术中出血量差异均无统计学意义（P＞0.05）;LA组术后肛门排气时间、下床活动时间、切口疼痛时间、术后住院天数均低于OA组,差异有统计学意义（P＜0.05）.结论 与OA比较,小儿LA具有创伤小、并发症少,恢复快及美容等优势,是治疗小儿阑尾炎理想的手术方式.

Objective To comparative study the clinical effect on laparoscopic appendectomy （LA） and traditional open appendectomy （OA） for treating appendicitis in children. Methods Ninety- three cases of children with appendicitis during hospitalization from 2009 January to 2012 December treated by LA or OA were analyzed retrospectively. The operation time, intraoperative blood loss and postoperative recovery situation of the LA and OA groups were compared. Results The surgical operation and postoperative recovery of children patients in both two groups were successful and no severe complications （except 6 cases of incision infection, one in LA, five in OA） occurred during and after operation. The operative time and blood loss of two groups were not significantly different （P〉0.05）. The passing flatus time, off-bed ambulation time, incision pain time, postoperative hospital stay of LA group were lower than that in OA group, and the difference had statistical significance （P〈0.05）. Conclusion Compared with open appendectomy, laparoscopic appendectomy in children has the advantages of small wound, less complications, faster recovery and nice wound healing, which could be an ideal treatment for pediatric appendicitis patients.