腹腔镜与开腹手术治疗不同病理类型小儿阑尾炎的疗效

Efficacy of Laparoscopic and Open Abdominal Surgery on Appendicitis in Different Pathological Types

目的:探究腹腔镜与开腹手术治疗不同病理类型小儿阑尾炎的疗效。方法:将2017年1月~2020年3月收治的阑尾炎患儿80例,随机分为参照组和研究组各40例,参照组行开腹手术治疗,研究组行腹腔镜治疗,比较两组相关手术指标恢复情况及并发症发生情况。结果:研究组术中出血量、手术时间、离床活动时间及住院治疗时间均优于参照组,并发症(2.50%)明显低于参照组(22.50%),差异均有统计学意义(P<0.05)。结论:对不同病理类型小儿阑尾炎行腹腔镜治疗可减少对患儿的伤害,加速其病情恢复,降低并发症发生率,值得推广应用。

Objective:To explore the effect of laparoscopic and open surgery in the treatment of different pathological types of children appendicitis.Methods:From January 2017 to March 2020,80 children with appendicitis were randomly divided into the reference group(40 cases,open surgery)and the study group(40 cases,laparoscopic surgery).The recovery of relevant surgical indicators and complications were compared between the two groups.Results:The amount of intraoperative bleeding,the time of operation,the time of moving out of bed and the time of hospitalization in the study group were all better than those in the reference group,and the incidence of complications was 2.50%,which was lower than 22.50%in the reference group,the difference was statistically significant(P<0.05).Conclusion:Laparoscopic treatment of appendicitis in children with different pathological types can reduce the injury to children,accelerate the recovery of the disease and reduce the incidence of complications,which is worthy of extensive application.