持续质量改进在预防小儿腹腔镜阑尾切除术后并发症中的作用

Continuous quality improvement in prevention of complications after pediatric laparoscopic appendectomy

目的探讨持续质量改进在预防小儿腹腔镜阑尾切除术后并发症中的作用。方法 2008年12月—2011年12月收治的小儿急性阑尾炎118例为对照组,行传统三孔法腹腔镜手术,2012年1月—2014年8月收治的224例同类型患儿为实验组,在行腹腔镜手术时注意持续质量改进,对比2组病例术后并发症发生情况。结果与对照组相比,实验组中的切口感染、腹腔脓肿、早期肠梗阻、再手术及住院时间差异均有统计学意义。结论小儿急性阑尾炎腹腔镜手术持续质量改进是非常必要的,它能有效减少术后并发症,减少术后住院时间。

Objective To discuss the effect of continuous quality improvement in prevention of complications after pediatric laparoscopic appendectomy. Methods From December 2008 to December 2011, 118 cases of children with acute appendicitis, as a control group, were operated with traditional laparoscopic surgery( the three hole method). From January 2012 to August 2014, 224 cases of children of the same type above-mentioned, as an experimental group, were treated with laparoscopic surgery for continuous quality improvement. The complications were compared between the two groups postoperation. Results The incision infection, abdominal abscess, early intestinal obstruction, re-operation and length of hospital stay of the experimental group were superior to those of the control group, and there were significant differences between the two groups. Conclusion The continuous quality improvement in laparoscopic surgery for children with acute appendicitis is very necessary. It can effectively reduce postoperative complications and shorten the postoperative hospital stay.