高清腹腔镜下阑尾切除术治疗小儿复杂性阑尾炎的效果

苗家园; 赵晓波; 徐渭贤; 刘强

doi:10.11659/jjssx.09E022087

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高清腹腔镜下阑尾切除术治疗小儿复杂性阑尾炎的效果

临床研究 | 更新时间：2023-05-26

- 高清腹腔镜下阑尾切除术治疗小儿复杂性阑尾炎的效果
- Effect of high-definition laparoscopic appendectomy on complex appendicitis in children
- 局解手术学杂志 2023年32卷第5期页码：413-415
- 作者机构：
  
  唐山市妇幼保健院小儿外科，河北唐山 063000
- 作者简介：
  
  苗家园，E-mail：miaojiayuan520@163.com
- 基金信息：
  
  河北省卫生和计划生育委员会资助项目(20171340)
- DOI：10.11659/jjssx.09E022087
  中图分类号： R725.7
- 纸质出版日期：2023-05-25，
  
  收稿日期：2022-09-16，
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苗家园,赵晓波,徐渭贤等.高清腹腔镜下阑尾切除术治疗小儿复杂性阑尾炎的效果[J].局解手术学杂志,2023,32(05):413-415.

MIAO Jia-yuan,ZHAO Xiao-bo,XU Wei-xian,et al.Effect of high-definition laparoscopic appendectomy on complex appendicitis in children[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2023,32(05):413-415.
苗家园,赵晓波,徐渭贤等.高清腹腔镜下阑尾切除术治疗小儿复杂性阑尾炎的效果[J].局解手术学杂志,2023,32(05):413-415. DOI： 10.11659/jjssx.09E022087.

MIAO Jia-yuan,ZHAO Xiao-bo,XU Wei-xian,et al.Effect of high-definition laparoscopic appendectomy on complex appendicitis in children[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2023,32(05):413-415. DOI： 10.11659/jjssx.09E022087.

摘要

目的

观察高清腹腔镜下阑尾切除术在复杂性阑尾炎患儿中的治疗效果。

方法

选取我院收治的84例复杂性阑尾炎患儿作为研究对象，按随机数字表法分为观察组（高清腹腔镜下行阑尾切除术）和对照组（普清腹腔镜下行阑尾切除术），每组42例。比较2组手术相关指标及术后2 h、6 h、12 h、24 h的修订版面部表情疼痛量表（FRS-R）评分情况；记录术后恢复情况及并发症发生情况。

结果

所有患儿术中存在肉眼可见的阑尾穿孔、周围脓肿或坏疽性阑尾炎等，且经术后病理检查证实阑尾坏疽41例，阑尾穿孔26例，阑尾脓肿17例，均属于复杂性阑尾炎。与对照组相比，观察组术中出血量减少（

0.05），手术时间缩短（

0.05）；2组住院费用及住院时间比较，差异均无统计学意义（

0.05）。2组术后12 h、24 h的FPS-R评分高于术后2 h、6 h（

0.05），术后24 h的FPS-R评分低于术后12 h（

0.05），观察组术后2 h、6 h、12 h、24 h的FPS-R评分均低于对照组（

0.05）。观察组术后肛门排气时间、肠鸣音恢复时间、进食时间均短于对照组（

0.05），并发症总发生率低于对照组（

0.05）。

结论

与普清腹腔镜相比，高清腹腔镜下阑尾切除术可缩短手术时间，减轻患儿术后疼痛，减少术中出血量，术后恢复快，并发症少，经济安全。

Abstract

Objective

To observe the effect of high-definition laparoscopic appendectomy in children with complex appendicitis.

Methods

A total of 84 children with complex appendicitis admitted to our hospital were selected and divided into the observation group (underwent high-definition laparoscopic appendectomy) and control group (underwent conventional laparoscopic appendectomy) according to the random number table method

with 42 cases in each group.The surgery related indexes and facial expression pain scale-revised (FPS-R) scores 2 hours

6 hours

12 hours and 24 hours after surgery between the two groups were compared.The recovery and complications after surgery of patients in the two groups were recorded.

Results

All the children had visible appendiceal perforation

peripheral abscess or gangrenous appendicitis during the operation

and there were 41 cases of appendiceal gangrene

26 cases of appendiceal perforation and 17 cases of appendiceal abscess confirmed by postoperative pathological examination

all of which belonged to complex appendicitis.Compared with the control group

the observation group had less intraoperative blood loss and shorter operation time (

0.05).There was no significant difference in hospitalization costs or hospital stay between the two groups (

0.05).The FPS-R scores 12 hours and 24 hours after operation in the two groups were higher than those 2 hours and 6 hours after operation (

0.05)

and the FPS-R scores 24 hours after operation in the two groups were lower than those 12 hours after operation (

0.05)

the FPS-R scores 2 hours

6 hours

12 hours and 24 hours after operation of the observation group were lower than those of the control group (

0.05).The anal exhausting time

bowel sounds recovery time and eating time after surgery in the observation group were shorter than those in the control group (

0.05)

and the total incidence of complications was lower than that in the control group (

0.05).

Conclusion

Compared with conventional laparoscopic appendectomy

high-definition laparoscopic appendectomy can shorten the operation time

alleviate postoperative pain and reduce intraoperative blood loss

with quick postoperative recover and fewer complications

which is economical and safe.

关键词

普清腹腔镜高清腹腔镜阑尾切除术小儿复杂性阑尾炎

Keywords

conventional laparoscopyhigh-definition laparoscopyappendectomychildrencomplex appendicitis

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