小儿急性阑尾炎诊疗体会

Clinical Diagnosis and Treatment of Children Acute Appendicitis

目的探讨小儿急性阑尾炎的诊断及治疗方法。方法回顾本院2015年5月至2018年12月收治的285例小儿急性阑尾炎患者的临床资料。结果 267例采取手术治疗方式,158例行开腹手术切除阑尾组织,109例行腹腔镜阑尾切除手术治疗。术后并发症切口感染5例,腹腔脓肿2例,门静脉炎感染1例,中枢神经感染1例。18例采取保守治疗方式。结论小儿急性阑尾炎诊断较困难,应当重视早期诊断,选择合理化的治疗方案和手术方式,促进小儿康复。

Objective To investigate the diagnosis and treatment of acute appendicitis of childhood. Methods Two hundred and eighty-five children patients with acute appendicitis from May 2015 to December 2018 were treated in our hospital. Results Two hundred and sixty-seven patients were treated by surgical operation, 158 case by open appdendectomy and 109 cases by laparoscopic appdectomy. Including 5 cases with infection of incision wound, 2 cases with abdominal abscess, 1 case with Portal phlebitis, 1 case with central nervous system infection, 18 cases received conservative treatment. Conclusion It is difficult to diagnose acute appendicitis in children. Early diagnosis should be emphasized. Select rational treatment plan and operation method to promote children’s rehabilitation.