| 腹腔镜及开腹手术治疗小儿复杂性阑尾炎268例 |
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| 引用本文： | 田鹏,王旺河,张超,王志凯,赵淑坤.腹腔镜及开腹手术治疗小儿复杂性阑尾炎268例[J].世界华人消化杂志,2010,18(8). |
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| 作者姓名： | 田鹏 王旺河 张超 王志凯 赵淑坤 |
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| 作者单位： | 河南省人民医院微创外科,河南省郑州市,450003 |
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| 摘 要： | 目的:对比分析腹腔镜和开腹阑尾切除术在治疗小儿复杂性阑尾炎中的疗效.方法:回顾性分析2000-01/2009-11小儿复杂性阑尾炎患者268例临床资料,其中腹腔镜阑尾切除术(LA)128例,开腹阑尾切除术(OA)140例,比较两组手术情况和疗效.结果:手术时间:LA组较OA组长(62.2 min±15.3 min vs 57.1 min±6.4 min,P<0.01);术后肛门排气时间:LA组较OA组短(26.8 h±7.6 h vs 42.9 h±8.3 h.P<0.001);术后住院时间:LA组较OA组短(5.2 d±2.3 d vs 9.5 d±2.6d,P<0.001);术后腹腔脓肿LA组1例,OA组9例(P=0.036);切口感染:LA组3例,OA组28例(P<0.001);肠梗阻:LA组2例,OA组5例(P=0.518).结论:LA较OA具有创伤小、恢复快、并发症少、住院时间短和美容效果好等优点,是治疗小儿复杂性阑尾炎一种安全有效的手术方式.
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| 关 键 词： | 复杂性阑尾炎 腹腔镜阑尾切除术 小儿 |
Laparoscopic versus open appendectomy in the treatment of complicated appendicitis in children:an analysis of 268 cases |
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| Peng Tian,Wang-He Wang,Chao Zhang,Zhi-Kai Wang,Shu-Kun Zhao.Laparoscopic versus open appendectomy in the treatment of complicated appendicitis in children:an analysis of 268 cases[J].World Chinese Journal of Digestology,2010,18(8). |
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| Authors: | Peng Tian Wang-He Wang Chao Zhang Zhi-Kai Wang Shu-Kun Zhao |
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| Institution: | Peng Tian,Wang-He Wang,Chao Zhang,Zhi-Kai Wang,Shu-Kun Zhao,Department of Minimally Invasive Surgery,Henan Provincial People\'s Hospital,Zhengzhou 450003,Henan Province,China |
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| Abstract: | AIM:To compare the efficacy of laparoscopic appendectomy (LA) versus open appendectomy (OA) in the treatment of complicated appendicitis in children.METHODS:A total of 268 children with complicated appendicitis who underwent either LA (LA group,n=128) or OA (OA group,n=140) from January 2000 to November 2009 were retrospectively analyzed.The surgical outcomes and therapeutic effects were compared between the two groups.RESULTS:The operative time was significantly longer in the LA group than in the OA group ... |
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| Keywords: | Complicated appendicitis Laparoscopic appendectomy Children |
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