经腹腔镜与经腹阑尾切除术治疗的对照分析

Comparison of Laparoscopic Appendectomy and Operative Appendectomy for Suppurative and Gangrene Appendicitis In Children.

目的探讨腹腔镜阑尾切除术治疗小儿化脓性及坏疽阑尾炎的疗效。方法回顾性分析应用腹腔镜及经腹行阑尾切除术治疗化脓及坏疽阑尾炎病人各380例。每组均含242例化脓性阑尾炎及138例坏疽性阑尾炎。结果开腹阑尾切除术组术后腹盆腔脓肿、围术期机械性肠梗阻及伤口感染的发病率分别为21/380、19/380和24/380,均显著高于腹腔镜阑尾切除术组的10/380、6/380和2/380,经统计学分析均有显著性差异。结论经腹腔镜阑尾切除术较经腹阑尾切除术可显著降低化脓性及坏疽性阑尾炎术后并发症的发生率。

Objective To evaluate the efficacy of laparoscopic appendectomy (LA) in children with suppurative and gangrene appendicitis. Methods One group of patients underwent LA,another group underwent operative appendectomy (OA).Each has 380 cases ,including 242 cases of suppurative appendicitis and 138 cases of gangrene appendicitis. Results The morbidities of coeliac-pelvic abscess and perioperative mechamical bowel obstruction in group OA were 67/380and 19/380 respectively, obviously higher than that in group LA,latter were 46 and 6,respectively.χ2 test showed that there was diference significantly in the both groups (P<0.05 and P<0.01) respectively. Conclusions As compared with OA therapy,the LA can remarkably derease the morbidities of coeliac pelvic abscess and perioperative mechanical bowel obstruction after the operation.