腹腔镜阑尾切除术治疗儿童穿孔性阑尾炎的效果分析

Analysis on Effect of Laparoscopic Appendectomy in Treatment of Children with Perforating Appendicitis

目的:分析腹腔镜阑尾切除术治疗儿童穿孔性阑尾炎的效果。方法:选取2020年1月—2022年12月锦州医科大学附属第三医院收治的穿孔性阑尾炎患儿84例作为研究对象,随机分为对照组与观察组,各42例。对照组实施常规开腹治疗,观察组实施腹腔镜阑尾切除术治疗。比较两组治疗效果。结果:观察组治疗总有效率高于对照组,差异有统计学意义(P=0.004)。观察组术中出血量少于对照组,手术时间、住院时间短于对照组,切口长度短于对照组,肛门排气时间早于对照组,差异有统计学意义(P<0.05)。术后,两组睡眠质量、入睡时间、睡眠时间、睡眠效率、日功能障碍评分低于术前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组并发症总发生率低于对照组,差异有统计学意义(P=0.007)。结论:腹腔镜阑尾切除术治疗儿童穿孔性阑尾炎的效果显著,患儿术中创伤小,术后恢复快,睡眠质量得到改善,且并发症发生率低,值得临床应用并予以推广。

Objective:To analyze the effect of laparoscopic appendectomy in the treatment of perforating appendicitis in children.Methods:A total of 84 children with perforating appendicitis admitted to the Third Affiliated Hospital of Jinzhou Medical University from January 2020 to December 2022 were selected as the study subjects.They were randomly divided into control group and observation group,with 42 cases in each group.The control group received conventional laparotomy,and the observation group received laparoscopic appendectomy.The treatment effects were compared between the two groups.Results:The total effective rate of treatment in the observation group was higher than that in the control group,and the difference was statistically significant(P=0.004).The intraoperative blood loss in the observation group was less than that in the control group,the operation time and hospital stay in the observation group were shorter than those in the control group,the incision length in the observation group was shorter than that in the control group,the anal exhaust time in the observation group was earlier than that in the control group,and the difference was statistically significant(P<0.05).After surgery,the sleep quality,asleep time,sleep time,sleep efficiency and daily dysfunction scores in the two groups were lower than those before surgery,these indexes in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P=0.007).Conclusion:Laparoscopic appendectomy has a significant effect in the treatment of perforating appendicitis in children,with less intraoperative trauma,faster postoperative recovery,improved sleep quality,and low complication rate,which is worthy of clinical application and promotion.