脐部单孔腹腔镜治疗小儿急性阑尾炎的疗效及安全性

Efficacy and Safety of Single Port Laparoscopic Surgery for Acute Appendicitis in Children

目的探究脐部单孔腹腔镜治疗小儿急性阑尾炎的疗效及安全性。方法随机抽取我院2014年7月—2016年7月收治的小儿急性阑尾炎患者100例作为研究对象,将其随机分为分为X组(n=50)和Y组(n=50)。Y组患者采用传统的阑尾切除术,X组患者采用脐部单孔腹腔镜治疗。对比两组患者治疗后的总有效率以及临床指标(手术时间、术中出血量、术后排气时间、住院时间)。结果 X组患者的总有效率(96%)高于Y组患者的(82%),临床指标(手术时间、术中出血量、术后排气时间、住院时间)均优于Y组,差异均具有统计学意义(P<0.05)。结论脐部单孔腹腔镜治疗小儿急性阑尾炎取得的临床疗效显著,患者的临床症状及体征明显好转,治疗时间显著缩短。

Objective To explore the efficacy and safety of laparoscopic single lobe laparoscopy in children with acute appendicitis. Methods 100 cases of patients with acute appendicitis were enrolled in our hospital from July 2014 to July 2016, divided into group X （n=50） and group Y （n=50）. Group Y patients with traditional appendectomy, group X patients with laparoscopic single laparoscopie treatment. Comparison of two groups of patients after treatment the total effective rate and clinical indicators （operation time, intraoperative blood lossl postoperative exhaust time, length of stay）. Results The total effective rate （96%） in group X was higher than that in group Y （82%）. The clinical outcome （operation time, intraoperative blood loss, postoperative exhaust time and hospitalization time） of group X was better than group Y, the difference was statistically significant （P〈0.05）. Conclusion The clinical effect of umbilical single hole laparoscopic treatment of pediatric acute appendicitis is significant, the clinical symptoms and signs of the patients are obviously improved, the treatment time is shortened.