腹腔镜微创技术与传统开放手术治疗小儿阑尾炎的临床疗效分析

Clinical analysis of laparoscopic minimally invasive surgery and traditional open surgery in the treatment of pediatric appendicitis

目的对比小儿阑尾炎应用腹腔镜微创技术与传统开放手术治疗的临床疗效。方法60例阑尾炎患儿,按照随机数字表法分为对照组和观察组,各30例。对照组采用传统开放手术,观察组采用腹腔镜微创技术。对比两组手术时间、视觉模拟评分法(VAS)评分、肛门排气时间、住院时间及并发症发生率。结果观察组并发症发生率13.33%低于对照组的43.33%,差异有统计学意义(P<0.05)。观察组手术时间(45.2±4.8)min、肛门排气时间(20.2±3.5)h、住院时间(6.6±1.4)d均短于对照组的(57.6±5.3)min、(35.4±4.6)h、(10.7±1.8)d,VAS评分(3.3±0.7)分低于对照组的(4.6±1.1)分,差异有统计学意义(P<0.05)。结论阑尾炎患儿应用腹腔镜微创技术治疗手术时间短、创伤小,有助于患儿的快速恢复,值得推广。

Objective To compare the clinical efficacy of laparoscopic minimally invasive surgery and traditional open surgery in the treatment of pediatric appendicitis.Methods A total of 60 cases of pediatric appendicitis were divided into control group and observation group according to random numerical table,with 30 cases in each group.The control group was treated with traditional open surgery,and the observation group was treated with laparoscopic minimally invasive surgery.The operation time,visual analogue scale(VAS)score,anal exhaust time,hospitalization time and incidence of complications were compared between the two groups.Results The incidence of complications 13.33%of the observation group was lower than 43.33%of the control group,and the difference was statistically significant(P<0.05).The operation time(45.2±4.8)min,anal exhaust time(20.2±3.5)h,hospitalization time(6.6±1.4)d of the observation group were all shorter than(57.6±5.3)min,(35.4±4.6)h and(10.7±1.8)d of the control group,and VAS score(3.3±0.7)points was lower than(4.6±1.1)points of the control group,and the difference was statistically significant(P<0.05).Conclusion The application of laparoscopic minimally invasive surgery has the advantages of short operation time and small trauma in the treatment of pediatric appendicitis,which is conducive to the rapid recovery of children and is worthy of promotion.