摘要
目的:比较腹腔镜与开腹手术治疗小儿急性化脓性阑尾炎并弥漫性腹膜炎的临床效果。方法:回顾分析2011年3月-2018年3月本院收治的120例急性化脓性阑尾炎并弥漫性腹膜炎患儿的临床资料,2014年3月以前以开腹阑尾切除术(open appendectomy,OA)为主,以后均为腹腔镜阑尾切除术(laparoscopic appendectomy,LA),各60例。对比两组手术时间、胃肠功能恢复时间、抗生素应用时间、住院时间等指标。结果:两组手术均获成功,LA组无一例患儿中转开腹。腹腔镜组手术时间、术后抗生素应用时间、胃肠功能恢复时间、住院时间均较OA组短,术后并发症少于OA组,差异均有统计学意义(P<0.05)。结论:腹腔镜手术治疗小儿急性化脓性阑尾炎并弥漫性腹膜炎对比开腹手术具有创伤小、恢复快、住院时间短、并发症少等优点。
Objective:To compare the effect of laparoscopic and open appendectomy in the treatment of acute suppurative appendicitis in children complicated with diffuse peritonitis.Method:The data of 120 patients with acute suppurative appendicitis in children complicated with diffuse peritonitis treated in our hospital from March 2011 to March 2018 were retrospectively analyzed.Open laparotomy was given priority before March 2014(OA group),and laparoscpic surgery was performed for all cases after that(LA group),60 cases in each group.Operation time,gastrointestinal function recovery time,antibiotic application time,and the length of hospital stay of two groups were compared.Result:The surgeries in both two groups were successful,with no conversion to open surgery in LA group.Compared with OA group,LA group had significantly shorter operation time,quicker recovery of gastrointestinal function,shorter postoperative antibiotics application time,shorter hospital stay,and fewer complications,there were statistical significance(P<0.05).Conclusion:Compared with OA,LA has many advantages in the treament of acute suppurative appendicitis in children complicated with diffuse peritonitis,such as early recovery,short hospital stay,and low complication rate.
作者
高志伟
刘吉平
张国胜
刘啸雨
单小辉
GAO Zhiwei;LIU Jiping;ZHANG Guosheng(Maternal and Child Health Hospital of Funing District,Qinhuangdao 066300,China)
出处
《中国医学创新》
CAS
2019年第25期48-51,共4页
Medical Innovation of China
