经脐单孔腹腔镜治疗小儿复杂性阑尾炎的效果及安全性分析

Study on effect and safety of laparoscopic treatment of pediatric complex appendicitis

目的：分析经脐单孔腹腔镜治疗小儿复杂性阑尾炎的效果及安全性.方法：择本院2016年2月-2017年6月接收的90例患复杂性的阑尾炎小儿资料,随机分观察组（45例）、对照组（45例）;对照组行开腹式阑尾切除手术（OA）治疗,而观察组行经脐单孔式腹腔镜的手术（UOTLA）治疗,探究2组效果和安全性.结果：术后的排气时间对照组是27.46±4.41小时,观察组是15.21±3.11小时,观察组排气时间更早（P〈0.01）;WBC（白细胞计数）观察组术后3天是（4.52±2.24）×109/L,对照组是（8.97±4.38）×109/L,观察组比对照组WBC低（P〈0.01）;并发症率之比,观察组是11.11%（5/45）,对照组是40.00%（18/45）,观察组并发症率较低（P〈0.01）.结论：经脐单孔型腹腔镜对复杂性小儿阑尾炎实施治疗,效果佳.

Objective： To analyze the effect and safety of laparoscopic treatment of children with complex appendicitis. Methods： 90 cases of pediatric patients with complicated appendicitis were randomly divided into two groups ： control group （ n = 45 ） and control group （n = 45 ）. The control group was treated with open appendectomy Surgery （OA）treatment, and the study group by umbilical single hole laparoscopic surgery （UOTLA） treatment, then explored the effects and safety of two groups. Results： The control group was （27.46 ±4. 41 ） h, the study group was （ 15.21± 3.11 ） h, the exhaust time of the study group was earlier than that of the control group （ P 〈 0.01 ） ; The WBC （ white blood cell count） was （4.52 ± 2.24 ） 109/L for 3 days after the study group, the control group was （ 8.97 ± 4.38 ） 109/ L,the WBC in the study group was lower than that in the control group （P 〈0.01 ）. The complication rate in the study group was 11.11% （5/45） and in the control group was 40.00% （18/45）. The complication rate of the study group was lower than that of the control group （P 〈0.01 ）. Conclusion.. The treatment of complex pediatric appendicitis with umbilieal single -hole laparoseopy was effeetive, which worth of promotion.