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腹腔镜下手术治疗小儿重症阑尾炎效果

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目的 探究腹腔镜下阑尾切除术治疗小儿重症阑尾炎的效果,为小儿阑尾炎治疗提供更安全有效的方法.方法 选取2022年1月-2023年6月滕州市中心人民医院收治的小儿重症阑尾炎患儿80例为研究对象,依据手术方法不同分为观察组和对照组各40例.对照组行开腹阑尾切除术,观察组行腹腔镜下阑尾切除术.比较两组患儿的手术指标、并发症发生率及术后CRP水平.结果 观察组手术时间、肠功能恢复时间、住院时间短于对照组,切口长度小于对照组,差异均有统计学意义(P<0.05).观察组并发症发生率为5.00%,低于对照组的20.00%,差异有统计学意义(x2=4.114,P<0.05).观察组CRP水平为(51.14±5.68)mg/L,低于对照组的(62.17±6.39)mg/L,差异有统计学意义(t=8.159,P<0.05).结论 在小儿重症阑尾炎患儿的治疗中,相较于常规开腹术式,腹腔镜下手术治疗小儿重症阑尾炎创伤较小,能降低并发症发生风险,且能减轻炎症反应,促进患儿术后早日康复,从而弥补传统术式的缺陷,故而临床对小儿重症阑尾炎进行治疗时,应优先考虑采用腹腔镜下手术治疗.
Effect of laparoscopy surgery for severe appendicitis in children
Objective To explore the effectiveness of laparoscopic surgery in the treatment of severe appendicitis in children,and to provide a safer and more effective method for the treatment of appendicitis in children.Methods A total of 80 children with severe appendicitis admitted to Tengzhou Central People's Hospital from January 2022 to June 2023 were selected as the study subjects.They were divided into an observation group and a control group based on different surgical methods,with 40 cases in each group.The control group underwent open appendectomy,while the observation group underwent laparoscopic appendectomy.The surgical indicators,incidence of complications and the postoperative CRP level between two groups of pediatric patients were compared.Results The surgical time,intestinal function recovery time and hospital stay in the observation group were shorter than those in the control group,and the incision length was smaller than the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 5.00%,which was lower than that in the control group with 20.00%,and the difference was statistically significant(x2=4.114,P<0.05).The CRP level in the observation group was(51.14±5.68)mg/L,which was lower than that in the control group with(62.17±6.39)mg/L,and the difference was statistically significant(t=8.159,P<0.05).Conclusion In the treatment of pediatric severe appendicitis,compared to conventional open surgery,laparoscopic surgery had less trauma,could reduce the risk of complications,reduce inflammatory reactions,promote early postoperative recovery,and make up for the shortcomings of traditional surgery.Therefore,when treating pediatric severe appendicitis in clinical practice,laparoscopic surgery should be given priority.

Severe appendicitis in childrenLaparoscopy surgeryApplication effect

孔祥明、张忠军

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滕州市中心人民医院小儿外科,山东 滕州 277500

小儿重症阑尾炎 腹腔镜下手术 应用效果

2024

中国城乡企业卫生
中华预防医学会 天津市职业病防治院

中国城乡企业卫生

影响因子:0.239
ISSN:1003-5052
年,卷(期):2024.39(4)
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