首页|单孔腹腔镜与传统腹腔镜在治疗儿童急性阑尾炎中的疗效对比研究

单孔腹腔镜与传统腹腔镜在治疗儿童急性阑尾炎中的疗效对比研究

To compare the efficacy of single-incision laparoscopy and traditional laparoscopy in the treatment of acute appendicitis in children

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目的:比较单孔腹腔镜与传统三孔腹腔镜手术治疗儿童急性阑尾炎的效果.方法:回顾性分析 2022 年1-9 月于南通大学附属医院小儿外科收治的急性阑尾炎患儿的临床资料,根据手术方法分为传统多孔腹腔镜阑尾切除术(conventional three-incision laparoscopic appendectomy,CLA)组(30 例)和单孔腹腔镜阑尾切除术(single-incision laparo-scopic appendectomy,SILA)组(30 例),对两组患儿的术前一般资料、术后恢复情况及随访结果进行比较.结果:两组患儿在性别、年龄、BMI、WBC计数、CRP等术前一般资料,术后疼痛评分、住院时间、并发症发生率及住院总费用等方面,差异均无统计学意义(均P>0.05);SILA组手术时长较CLA组略高,但差异无统计学意义;SILA孔组的术后外观满意度明显优于CLA组(P<0.05).结论:SILA与CLA临床疗效等同,在外观满意度上更具优势,是治疗儿童急性阑尾炎更为理想的手术方法.
Objective:To compare the efficacy of single-incision laparoscopic surgery and traditional three-incision laparo-scopic surgery in the treatment of acute appendicitis in children.Methods:The clinical data of patients with acute appendici-tis admitted to the Department of Pediatric Surgery,the Affiliated Hospital of Nantong University from January to September 2022 were retrospectively analyzed.According to different surgical methods,the patients were divided into conventional three-incision laparoscopic appendectomy(CLA)group(30 cases)and single-incision laparoscopic appendectomy(SILA)group(30 cases).Results:There was no significant difference in gender,age,BMI,white blood cell count,CRP and other preopera-tive general data between the two groups.There were no significant differences in postoperative pain score,length of hospital stay,incidence of complications and total cost of hospitalization between the two groups.The operation time of the SILA group was slightly longer than that of the CLA group,but the difference was not statistically significant.The postoperative appear-ance satisfaction of the SILA group was significantly better than that of the CLA group(P<0.05).Conclusions:Compared with CLA,SILA has the same clinical efficacy and has more advantages in appearance satisfaction.SILA is an ideal surgical method for the treatment of acute appendicitis in children.

acute appendicitissingle-incision laparoscopic appendectomythree-incision laparoscopic appendectomychild

季添翼、邱思桐、曹国锋、周彦、钱能、谌月华、印其友、季铃华

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南通大学医学院,江苏 226001

南通大学附属医院小儿外科

急性阑尾炎 单孔腹腔镜阑尾切除术 三孔腹腔镜阑尾切除术 儿童

研究型医师发展基金

YJXYY202204-YSB53

2024

南通大学学报(医学版)
南通大学

南通大学学报(医学版)

影响因子:0.637
ISSN:1674-7887
年,卷(期):2024.44(2)