经脐单孔腹腔镜治疗小儿阑尾炎的疗效评价

Evaluation of the Efficacy of Single Port Laparoscopy in the Treatment of Appendicitis in Children

目的对小儿阑尾炎患儿采用经脐单孔腹腔镜治疗的效果进行探究。方法方便选择该院2018年6月—2019年8月收治的小儿阑尾炎患儿78例作为该次研究纳入的研究对象,按照随机数字表法将这些患儿划分为开腹组(39例)和微创组(39例)。采用传统开腹阑尾切除术对开腹组予以治疗,采用经脐单孔腹腔镜对微创组予以治疗。在治疗结束后,对两组患儿的临床治疗效果进行观察和探讨。结果微创组的手术时间(21.4±2.3)min、术中出血量(9.2±2.3)mL、术后排气时间(11.5±1.8)h和住院时间(3.6±1.7)d明显优于开腹组(32.8±3.5)min、(18.9±3.2)mL、(17.3±3.6)h、(5.4±2.0)d,两组比较差异有统计学意义(t=3.527、3.463、3.826、3.194,P<0.05);微创组术后第3天的血清C反应蛋白水平(29.2±7.8)mg/L明显优于开腹组(20.7±8.2)mg/L,两组比较差异有统计学意义(t=3.814,P<0.05);微创组的并发症发生率为2.6%明显低于开腹组5.1%,但差异无统计学意义(χ2=0.487,P>0.05)。结论针对小儿阑尾炎患儿采用经脐单孔腹腔镜进行治疗具有很好的效果,可以有效地促进患儿的身体恢复,而且并发症少,安全性更高。

Objective To explore the effect of transumbilical single port laparoscopy in children with appendicitis.Methods A total of 78 pediatric appendicitis patients admitted to the hospital from June 2018 to August 2019 were conveniently selected as the subjects of this study.These children were divided into open patients according to the random number table method:abdominal group(39 cases)and minimally invasive group(39 cases).The laparotomy group was treated with traditional open appendectomy,and the minimally invasive group was treated with transumbilical single port laparoscopy.After the treatment,the clinical treatment effects of the two groups of children were observed and discussed.Results The operation time(21.4±2.3)min,intraoperative blood loss(9.2±2.3)mL,postoperative exhaust time(11.5±1.8)h and hospitalization time(3.6±1.7)d of the minimally invasive group were significantly better than those of the open group by(32.8±3.5)min,(18.9±3.2)mL,(17.3±3.6)h,(5.4±2.0)d,the difference between the two groups was statistically significant(t=3.527,3.463,3.826,3.194,P<0.05);the level of serum C-reactive protein on the 3rd day after surgery in the minimally invasive group(29.2±7.8)mg/Lwas significantly better than the laparotomy group by(20.7±8.2)mg/L.The difference between the two groups was statistically significant(t=3.814,P<0.05);the complication rate of the minimally invasive group was 2.6%significantly lower than that of the laparotomy group 5.1%,but the difference was no statistical significant(χ2=0.487,P>0.05).Conclusion The use of transumbilical single port laparoscopy for the treatment of children with appendicitis has a good effect,can effectively promote the physical recovery of the children,and has fewer complications and higher safety.