摘要
目的探讨快速康复外科(FTS)在腹腔镜小儿急性阑尾炎治疗中的应用效果。方法选取郑州市儿童医院普外科2013-12—2016-12间收治的120例急性阑尾炎患儿(年龄3~10岁)。将2013-12—2015-05间的60例作为对照组,行常规腹腔镜治疗;将2015-06—2016-12间的60例作为观察组,采用FTS腹腔镜治疗。比较2组术后上呼吸道感染、恶心呕吐、咽喉疼痛、肛门首次排气时间、切口感染、肠梗阻、住院时间及住院费用等情况。结果与对照组比较,观察组咽喉疼痛、恶心呕吐、尿道疼痛、术后肛门首次排气时间、住院时间、住院费用、粘连性肠梗阻发生率低于对照组,差异有统计学意义(P<0.05)。2组术后上呼吸道感染、切口感染差异无统计学意义(P>0.05)。结论在小儿急性阑尾炎腹腔镜治疗中应用FTS,可有效促进术胃肠道功能的恢复,减少并发症发生率,缩短住院时间,效果满意。
Objective To explore the effect that fast track surgery （ FTS）combined laparoscopy for the treatment of acute appendicitisin children. Methods Totally 120 cases of children with acute appendicitis were selected in Department of general surgery,children＇ s Hospitalof Zhengzhou from 2013 - 12 to 2016 - 12 （ aged 3 ～ 10 years old） . The 2013 - 12 to 2015 - 05 60 cases as control group,given routine laparoscopic treatment;the 2015 - 06 to 2016 - 12 60 cases as the observation group,given the laparoscopic FTS treatment. The 2 groups werecompared after operation. Respiratory tract infection,nausea and vomiting,throat pain,anal exhaust time,wound infection,intestinal obstruction,hospitalization time and cost. Results Compared with the control group,the observation group of throat pain,nausea and vomiting,urethral pain,postoperative anal exhaust time,hospitalization time,cost of hospitalization,the incidence of adhesive ileus is lower than that of thecontrol group,the difference was statistically significant （ P 〈 0 05） ,2 groups postoperative incision infection of upper respiratory tract infection,has no significant difference （ P 〉 0 05） . Conclusion The application of FTS in laparoscopic treatment of acute appendicitis in childrencan effectively promote the recovery of gastrointestinal function,reduce the incidence of complications,shorten the length of hospital stay,andthe effect is satisfactory.
出处
《河南外科学杂志》
2017年第6期15-18,共4页
Henan Journal of Surgery
基金
河南省卫生科技公关项目(编号:201303232)
福棠儿童医学发展中心2015年资助项目
关键词
快速康复外科
腹腔镜
小儿急性阑尾炎
Fast track surgery
Laparoscopy
Children with acute appendicitis
