腹腔镜手术治疗急性化脓性阑尾炎患儿的临床效果

Clinical effects of laparoscopic surgery in children with acute suppurative appendicitis

目的:观察腹腔镜手术治疗急性化脓性阑尾炎患儿的临床效果。方法:选取80例急性化脓性阑尾炎患儿作为研究对象,采用随机数字表法分为观察组和对照组,每组40例。对照组予开腹手术治疗,观察组予腹腔镜手术治疗,比较两组临床相关指标水平,手术前后免疫功能指标水平及术后并发症发生率。结果:观察组手术时间、术后首次排气时间、下床活动时间和住院时间均短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05);两组CD3+、CD4/CD8水平均低于术前,但观察组高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为5.00%,低于对照组的20.00%,差异有统计学意义(P<0.05)。结论:腹腔镜手术可减轻急性化脓性阑尾炎患儿的手术创伤,减轻手术对其免疫功能的影响,并可减少术后并发症发生。

Objective: To investigate clinical effects of laparoscopic surgery in children with acute suppurative appendicitis. Methods: 80 children with acute suppurative appendicitis were selected as the research objects, and were divided into observation group and control group by using the random number table method, 40 cases in each group. The control group was treated with open surgery, while the observation group was treated with laparoscopic surgery. The clinical related indexes, the levels of immune function indexes before and after the surgery and the incidence of postoperative complications were compared between the two groups. Results: The operation time, the first postoperative exhaust time, the outof-bed activity time and the hospital stay in the observation group were shorter than those in the control group;the intraoperative blood loss was less than that of the control group;and the differences were statistically significant(P<0.05). The levels of CD3+ and CD4/CD8 in the two groups were lower than those before the surgery;those of the observation group were higher than those of the control group;and the differences were statistically significant(P<0.05). The complication rate of observation group was 5.00%, which was lower than 20.00% of the control group, and the difference was statistically significant(P<0.05). Conclusions: Laparoscopic surgery can reduce the surgical trauma for the children with acute suppurative appendicitis, reduce the impact of surgery on their immune function, and reduce the postoperative complications.