腹壁缝合穿刺针辅助小儿腹腔镜阑尾切除术的临床疗效与优势研究

Study on the Clinical Efficacy and Advantages of Laparoscopic Appendectomy Assisted by Abdominal Wall Suture Puncture Needle in Children

目的 探究腹壁缝合穿刺针辅助小儿腹腔镜阑尾切除术的临床疗效与优势。方法 选取2020年1月-2021年12月我院接诊的50例小儿阑尾炎患儿为研究对象,采用随机数字表法分为对照组和观察组,各25例。对照组采用传统腹腔镜切除术治疗,观察组采用腹壁缝合穿刺针辅助法治疗,比较两组临床手术指标、疼痛评分(VAS)、切口美观满意度、应激反应指标以及并发症发生率。结果 观察组手术时间、术后胃肠功能恢复时间均小于对照组(P<0.05),但术中出血量、住院时间与对照组比较,差异无统计学意义(P>0.05);观察组术后疼痛评分小于对照组(P<0.05);观察组美观满意度为96.00%,高于对照组的84.00%(P<0.05);两组血清去甲肾上腺素(NE)、皮质醇(COR)均升高,但观察组低于对照组(P<0.05);观察组并发症发生率为8.00%,低于对照组的20.00%(P<0.05)。结论 腹壁缝合穿刺针辅助小儿腹腔镜阑尾切除术具有显著的效果,可缩短手术时间,促进术后胃肠功能恢复,减轻患者术后疼痛度,且术后瘢痕更隐蔽,可提高切口美观满意度,降低并发症发生率,具有临床应用的显著优势,值得临床应用。

Objective To explore the clinical effect and advantage of laparoscopic appendectomy assisted by abdominal wall suture puncture needle in children.Methods From January 2020 to December 2021, 50 children with appendicitis in our hospital were selected as the research objects. They were divided into control group and observation group by random number table method, with 25 cases in each group. The control group was treated with traditional laparoscopic resection, and the observation group was treated with abdominal wall suture puncture needle assisted method. The clinical operation index, pain score(VAS), incision aesthetic satisfaction, stress response index and complication rate were compared between the two groups.Results The operation time and postoperative gastrointestinal function recovery time of the observation group were less than those of the c ontrol group(P <0.05), however, there was no significant difference in intraoperative blood loss and hospitalization time between the observation group and control group(P>0.05). The aesthetic satisfaction of the observation group was 96.00%, which was higher than 84.00% of the control group(P<0.05). Serum norepinephrine(NE) and cortisol(COR) increased in both groups, but the observation group was lower than the control group(P <0.05). The incidence of complications in the observation group was 8.00%, which was lower than 20.00% in the control group( P <0.05).Conclusion Abdominal wall suture puncture needle assisted laparoscopic appendectomy in children has a significant effect, which can shorten the operation time, promote the recovery of postoperative gastrointestinal function, reduce the postoperative pain of patients, and the postoperative scar is more concealed. Meanwhile, it can improve the aesthetic satisfaction of incision and reduce the incidence of complications. It has significant advantages in clinical application and is worthy of clinical application.