探讨腹腔镜技术在小儿急腹症诊疗过程中应用

Laparoscopic Technique in Diagnosis and Treatment of Pediatric Acute Ab-domen

目的研究在小儿急腹症的诊治过程中腹腔镜技术的应用效果。方法整群选取2010年1月—2015年1月该院收治的105例患有小儿急腹症的患儿,分为两组,A组使用腹腔镜治疗,B组使用开腹手术治疗,对比所有患儿手术时间、住院时间以及术后恢复情况等。结果对于小儿急腹症患儿使用腹腔镜进行治疗的过程中,仅有4例中转开腹手术,并且住院时间为(5.5±1.7)d,手术时间为(52.12±1.25)min,平均术中出血量为(32.15±1.34)m L,平均肛门排气时间为(2.5±1.23)d,与对照组患儿数据相比有明显降低(P<0.05)。结论对于患有小儿急腹症的患儿,使用腹腔镜技术进行诊断和治疗有很好的效果。

Objective To study application effect of laparoscopic technology in the diagnosis and treatment of children with acute abdomen. Methods 105 children with acute abdomen admitted to this hospital between January 2010 and January 2015 were divided into two groups. The groups A underwent laparoscopic treatment, while the group B was treated with open surgery. The operative duration, length of hospital stay, recovery after treatment was compared between the two groups. Results Only 4 patients in the group A were converted to open surgery after failed laparoscopic treatment, and the lengthy of hospital stay, operative duration, even blood loss and anal exhaust time after operation in the group A were (5.5±1.7)d, (52.12 ±1.25)min, (32.15 ±1.34)mL, (2.5 ±1.23)d, respectively, significantly lower than those in the group B, and the differences were statistically significant, P<0.05. Conclusion Laparoscopic technology in the diagnosis and treatment of children with acute abdomen can bring good efficacy.