摘要
目的探讨穿刺针辅助经脐单部位腹腔镜手术治疗小儿阑尾炎的可行性及其优势。方法回顾性分析2015年12月至2017年10月于本院胃肠外科病区接受治疗的110例小儿急性阑尾炎患者的病例资料,其中采用传统三孔法腹腔镜治疗的65例患儿为传统腔镜治疗组,采用穿刺针辅助经脐单部位腹腔镜治疗的45例患儿为穿刺针辅助治疗组;比较分析两组患儿手术时间、术中出血量以及术后常见并发症发生率等指标。结果 两组患儿均治愈出院,穿刺针组患儿手术时间以及术中出血量等指标均显著低于传统组[手术时间:(40.7±11.5)min比(59.3±13.7)min,P=0.033;术中出血量:(4.3±1.1)ml比(7.5±2.9)ml,P=0.007)];两组患儿在术后排气时间、住院时间、住院花费以及术后常见并发症发生率等方面比较,差异均无统计学意义(均P>0.05)。结论 采用穿刺针辅助经脐单部位腹腔镜阑尾切除术治疗小儿急性阑尾炎是一种安全有效、美容效果好的手术方式,值得临床推广应用。
Objective To explore the feasibility and advantages of puncture needle assisted transumbilical single-site laparoscopic surgery for appendicitis in children. Methods A retrospective analysis was made on 110 cases of acute appendicitis treated at our hospital from December, 2015 to October, 2017. 65 cases received traditional three-hole laparoscopic treatment were set as a traditional endoscopy treatment group, and 45 cases received puncture needle-assisted transumbilical single-site laparoscopic treatment a puncture needle assisted treatment group. The operation time, intra-operative bleeding volume, and the incidence of common complications were compared and analyzed between the two groups. Results All the children in both groups were cured. The operation time and intra-operative bleeding volume were significantly lower in the puncture needle assisted treatment group than in traditional endoscopy treatment group [(40.7±11.5) min vs.(59.3±13.7) min, P=0.033;(4.3±1.1) ml vs.(7.5±2.9) ml, P=0.007)]. There were no statistical differences in exhaust time, hospitalization time, meanhospitalized cost, and the incidence of common complications between the two groups (all P > 0.05). Conclusion Acupuncture needle assisted transumbilical laparoscopic appendectomy for acute appendicitis in children is a safe, effective, and cosmetic method, which is worthy of clinical application.
作者
韩红波
庞世刚
郭天华
李洪林
Han Hongbo;Pang Shigang;Guo Tianhua;Li Honglin(Department of Gastrointestinal Surgery, Binzhou Central Hospital, Binzhou 251700,China)
出处
《国际医药卫生导报》
2019年第15期2427-2430,共4页
International Medicine and Health Guidance News
基金
滨州医学院校级科研计划与科研启动基金项目(BY2016KJ56).
关键词
腹壁穿刺针
阑尾切除术
腹腔镜
Abdominal wall puncture needle
Appendicectomy
Laparoscopy
