经脐单孔腹腔镜治疗小儿急性阑尾炎临床效果评价

目的观察经脐单孔腹腔镜治疗小儿急性阑尾炎的临床疗效。方法湖南省儿童医院急诊综合外科2012年8月至2015年4月收治小儿急性阑尾炎患儿123例,根据治疗方式分为对照组57例和观察组66例。对照组采用传统腹腔镜手术,观察组采用经脐单孔腹腔镜治疗,比较两组患儿治疗的临床疗效、手术相关指标情况以及并发症发生率。结果观察组治疗总有效率为97.0%(64/66),显著高于对照组84.2%(48/57),差异有统计学意义(P0.05);观察组患儿的平均手术时间显著比对照组缩短,术中出血量显著少于对照组,差异有统计学意义(P0.01);观察组术后并发症发生率显著低于对照组,差异有统计学意义(P0.05)。两组患儿术后肠功能恢复时间、住院时间比较差异均无统计学意义(P0.05)。结论在小儿急性阑尾炎治疗中,经脐单孔腹腔镜治疗的临床疗效显著优于传统腹腔镜手术,并且安全性高,疗效确切,具有临床推广应用的价值。

Clinical evaluation of transumbilical single laparoscopic treatment for acute appendicitis in children

Objective To observe the clinical effect of transumbilical single laparoscopic treatment for acute appendicitis in children.Methods A total of 123 children were admitted to Hunan Children's Hospital from August 2012 to April 201 5 for acute appendicitis.According to treatment methods,these children were divided into two groups:the observation group(66 cases)and the control group(57 cases).The control group was given conventional laparoscopic surgery and the observation group received transumbilical single laparo-scopic treatment.Compare the clinical effect,operation-related indexes and complication incidences between the two groups.Results The total effective rate was 97.0%(64/66)in the observation group,significantly higher than that of the control group,which was 84.2%(48/57),and the difference was of statistical signifi-cance(P <0.05).The average operative time of the observation group was significantly shorter than that of the control group,and the bleeding volume in the observation group was much less than in the control group, the difference was statistically significant(P <0.01 ).The complication incidences after treatment were sig-nificantly lower in the observation group than in the control group,and the difference was statistically signif-icant(P <0.05).There was no significant difference in the recovery time of intestinal function and the hospi-tal stay(P >0.05).Conclusion In the treatment of acute appendicitis in children,transumbilical single lapa-roscopic treatment is better than conventional laparoscopic surgery,and it is safe with good effect,which should be used in clinic.