腹腔镜小儿阑尾切除术疗效分析

Clinical study of pediatric laparoscopic appendectomy

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。

Objetive To study the clinical value of laparoscopy in pediatric appendectomy. Methods from July 2007 to June 2013, the author＇s work, my a total of 457 cases of appendectomY with 351 cases of laparoscopic appendectomy and traditional open operation in 106 cases, through two groups of surgery in aesthetic incision, length of hospital stay, operative time, blood loss, postoperative pain degree （ the Wang -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 disadvantages of laparoscopy in pediatric appendectomy. Results the laparoscopic appendectomy children in aesthetic incision, hospitalization time, blood loss, postoperative pain degree, incision infection rate, postoperative 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.