经脐单孔腹腔镜阑尾切除术治疗小儿急性阑尾炎的临床疗效及安全性分析

Clinical Efficacy and Safety Analysis of Single Hole Laparoscopic Appendectomy in the Treatment of Children with Acute Appendicitis

目的:分析经脐单孔腹腔镜阑尾切除术治疗小儿急性阑尾炎的临床疗效及安全性。方法:选择2018年6月~2020年6月某院收治的急性阑尾炎患儿90例,采用随机数字表法分为对照组和观察组各45例。两组均进行腹腔镜阑尾切除术,对照组行三孔法,观察组行单孔法,比较两组临床指标、白细胞计数、C-反应蛋白(CRP)及并发症。结果:两组住院时间比较,差异无统计学意义(P>0.05);观察组手术时间(19.21±3.73)min、术后排气时间(15.07±3.14)h,均短于对照组的(28.69±4.54)min、(21.22±5.48)h,出血量(20.47±6.39)ml,少于对照组(32.56±8.54)ml,白细胞计数、CRP水平、并发症发生率均低于对照组,差异有统计学意义(P<0.05)。结论:小儿急性阑尾炎腹腔镜阑尾切除术中,单孔法效果优于三孔法,手术时间短,出血量少,患儿术后恢复快,且并发症较少,临床应用较为安全。

Objective:To analyze the clinical efficacy and safety of transumbilical single hole laparoscopic appendectomy in the treatment of children with acute appendicitis.Methods:A total of 90 children with acute appendicitis admitted to a hospital from June 2018 to June 2020 were selected and divided into two groups by random number table method,with 45 cases in each group.Both groups underwent laparoscopic appendectomy,the control group underwent three-hole method,and the observation group underwent single-hole method.The clinical indicators,white blood cell count,C-reactive protein(CRP)and complications were compared between the two groups.Results:There was no statistically significant difference in hospitalization time between the two groups(P>0.05).The operation time and the postoperative exhaust time of the observation group[(19.21±3.73)min,(15.07±3.14)h]were shorter than those of the control group[(28.69±4.54)min,(21.22±5.48)h],and the blood loss of the observation group(20.47±6.39)ml was less than that of the control group(32.56±8.54)ml.The white blood cell count,CRP level,and complication rate in the observation were lower than those in the control group,and the difference was statistically significant(P<0.05).Conclusion:In laparoscopic appendectomy for acute appendicitis in children,the effect of single hole method is better than that of three-hole method.The operation time is short,the amount of bleeding is less,the children recover quickly after operation,and the complications are less,so the clinical application is relatively safe.