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腹腔镜治疗小儿急性坏疽性阑尾炎的疗效和安全性研究 被引量:2

Effect and safety of laparoscope in the treatment pediatric acute gangrenous appendicitis
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摘要 目的:探讨腹腔镜治疗小儿畸形坏疽性阑尾炎的疗效和安全性。方法:选取我院收治急性坏疽性阑尾炎患儿80例随机分为腹腔镜组和传统手术治疗组,分别采用腹腔镜和传统开腹手术治疗,比较两组患者手术时间、术中出血量、住院时间及并发症发生情况。结果:腹腔镜组患儿手术时间和传统组比较无统计学意义(P>0.05),术中出血量及住院时间均明显少于传统组,两组比较有统计学意义(P<0.05);腹腔镜组患儿并发症总发生率为7.50%,明显低于传统组的27.50%,两组比较有统计学意义(P<0.05)。结论:腹腔镜治疗小儿急性坏疽性阑尾炎可减轻患儿创伤,减少术中出血量,缩短住院时间,降低并发症。 Objective:To investigate the efficacy and safety of laparoscope in pediatric acute gangrenous appendicitis.Methods:80 cases of acute gangrenous appendicitis in our hospital were randomized into the laparoscope group treated by laparoscopic surgery and conventional group treated with conventional laparotomy.The operation time,intraoperatve blood loss,length hospital stay and occurrence of complications in both groups were measured.Results:There was no statistical difference of the operation time between both group(P〈0.05);the intraoperatve blood loss and length hospital stay in the laparoscope group were obviously lower than those of the control group(P〈0.05);the total occurrence rate of complications in the laparoscope group was 7.50%,significantly lower than 27.50% in the control group,which was of statistical difference(P〈0.05).Conclusion:The treatment of pediatric acute gangrenous appendicitis by laparoscopic surgery can reduce the trauma and intraoperatve blood loss,shorten the hospitalization duration and reduce the occurrence of complications.
作者 刘梅
出处 《华夏医学》 CAS 2015年第5期61-63,共3页 Acta Medicinae Sinica
关键词 腹腔镜 传统手术 患儿 急性坏疽性阑尾炎 laparoscope conventional surgery pediatrics acute gangrenous appendicitis
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