摘要
目的探讨3D腹腔镜手术治疗小儿急性阑尾炎的疗效。方法回顾性分析我院2013年10月至2013年11月收治的53例小儿急性阑尾炎病例资料，根据手术方式不同分为3D腹腔镜组和传统腹腔镜组，其中3D腹腔镜组共21例，传统腹腔镜组共32例。对比分析两组的手术时间、住院时间、手术出血量、术后进食时间。结果全部53例急性阑尾炎患儿均行腹腔镜阑尾切除术，无一例中转开腹手术。两组患儿的年龄、性别基本相同，差异无统计学意义。传统腹腔镜组平均手术时间为（30．0±3．5）min，3D腹腔镜组显著缩短为（24．5±3．2）min，两组比较差异有统计学意义（P〈0．05）。传统腹腔镜组平均住院时间为1．9d，3D腹腔镜组显著缩短为1．4d，两组比较差异有统计学意义（P〈0．05）。所有患儿术后随访1～2个月，无出血、肠瘘、残株炎、肠梗阻等严重并发症发生。结论3D腹腔镜手术治疗小儿急性阑尾炎视野更清晰、立体感更强，手术更精准、操作更简单和安全性更高，缩短手术时间、住院时间，加快患儿术后恢复。
Objective To explore the role of three dimensional （3D）-laparoscopy in the treatment of pediatric appendicitis. Methods From October to November 2013, a total of 53 acute appendicitis cases were divided into 2 groups of 3D-laparoscopy （n = 21） and two dimensional （2D）- laparoscopy （n = 32）. Their clinical data of preoperative status, treatments and postoperative management were retrospectively reviewed. Results Laparoscopic appendectomy was performed in all cases without conversion into open approach. Age and gender were not different between two groups. The hospitalization durations were 1.4 and 1.9 days respectively （P〈0. 05）. The operative duration had significant statistical differences [（24. 5 ± 3. 2） vs （30.0 ± 3.5） min, P 〈 0.05]. The postoperative follow-up period was 1-2 months. There was no occurrence of such severe complications as hemorrhage, residual intraperitoneal infection, intestinal fistula, appendix stump inflammation or intestinal obstruction, etc. Conclusions 3D-laparoscopy in acute pediatric appendicitis offers a more distinct visual field and a greater spatial sense so that it is more precise, easier, safer and shorter. Also its postoperative recovery is faster and length of stay shorter.
出处
《中华小儿外科杂志》
CSCD
北大核心
2014年第6期435-438,共4页
Chinese Journal of Pediatric Surgery
关键词
阑尾炎
成像
三维
腹腔镜检查
Appendicitis
Imaging, three-dimensional
Laparoscopy
