摘要
目的 对比分析腹腔镜阑尾切除术（LA）与开腹阑尾切除术（OA）治疗儿童复杂性阑尾炎,以评价腹腔镜治疗儿童复杂性阑尾炎的效果.方法 回顾分析手术治疗儿童复杂性阑尾炎189例临床资料,其中LA 113例,OA 76例.比较两组手术时间、术中出血量少、恢复进食时间、感染性并发症发生率、术后住院天数、抗生素使用时间及手术费用等指标.结果 LA组比OA组手术时间长,手术费用高,差异有统计学意义,但LA组术中出血量少、术后开始进食时间及住院时间均短于OA组,而且切口感染率及腹腔内脓肿发生率较OA组低（P〈0.05）.虽然LA组术后抗生素使用时间短于OA组,但差异无统计学意义（P=0.113）.结论 LA具有创伤小、恢复快、并发症少等优点,用于治疗儿童复杂性阑尾炎可行,且安全有效.
Objective To investigate the feasibility of laparoscopic appendectomy（LA） for complicated appendicitis in children by comparing the efficacy of LA with that of open appendectomy （OA）. Methods The clinical data of 189 child patients with complicated appendicitis who underwent either LA or OA were analyzed retrospectively. Among the patients, 113 underwent LA and 76 OA. The operative time, intra - operative blood loss, diet resumption, infectious complications（ wound infection and intra - abdominal abscess）, hospital stay, duration of antibiotic use and total cost were compared between patients receiving LA and OA. Results The operative time and surgical cost in the LA group were significantly increased as compared with those in the OA group （ P 〈 0. 05 for each）. However, the estimated blood loss was lower in the LA group; the patients in the LA group returned to oral intake earlier than those in the OA group; the hospital stay in the LA group was significantly shorter than that in the OA group. Incidence of wound infection and postoperative intra - abdominal abscess in the LA group was significantly lower than that in the OA group（ P 〈 0.05 ）. Although the duration of antibiotic use was shorter in the LA group, no significant difference was found between the two groups. No mortality was observed in both the groups. Conclusion LA for complicated appendicitis in children is feasible, safe and effective. It has significant advantages over OA with fewer traumas, faster resumption to diet,lower incidence of in- fectious complications and shorter hospitalization.
出处
《临床外科杂志》
2010年第2期118-120,共3页
Journal of Clinical Surgery
