腹腔镜和开腹阑尾切除对术后粘连性肠梗阻发生影响.docVIP

腹腔镜和开腹阑尾切除对术后粘连性肠梗阻发生影响 　　【摘要】 目的：将腹腔镜阑尾切除术与开腹阑尾切除术用于急性阑尾炎患儿中，分析其对术后发生粘连性肠梗阻症状的影响。方法：2014年 　　1月-2017年1月笔者所在医院儿科收治的60例急性阑尾炎患儿归入研究目标资料，根据手术治疗方式，分为参照组（30例）及试验组（30例），参照组患儿予以开腹阑尾切除术，试验组患儿予以腹腔镜阑尾切除术，记录并研究两组患儿的手术耗时、术中出血量、术后排气时间、术后下床时间、术后粘连性肠梗阻发生情况，以及两组患儿家长的满意率。结果：试验组患儿的术中出血量、术后排气时间、术后下床时间优于参照组，差异有统计学意义（P0.05），试验组患儿的术后粘连性肠梗阻发生率低于参照组，差异有统计学意义（P0.05），试验组患儿家长的满意率高于参照组，差异有统计学意义（P0.05）。结论：急性阑尾炎患儿采取腹腔镜阑尾切除术的治疗效果优于开腹阑尾切除术治疗，对术后粘连性肠梗阻发生率具备降低作用。 　　【关键词】 腹腔镜阑尾切除术； 开腹阑尾切除术； 术后粘连性肠梗阻 　　doi：10.14033/j.cnki.cfmr.2017.35.009 文献标识码 B 文章编号 1674-6805（2017）35-0019-02 　　【Abstract】 Objective：To evaluate the effect of laparoscopic appendectomy and appendectomy on children with acute appendicitis after operation.Method：Sixty children with acute appendicitis admitted to our hospital from January 2014 to January 2017 were included in the study data.The grouping of the reference group（30 cases） and the experimental group（30 cases） was the operation difference between the two groups，Open appendectomy was taken to the reference group of children，laparoscopic appendectomy was taken to the experimental group of children，two groups of children with surgery time，blood loss，postoperative exhaust time，after bed time，postoperative adhesive intestinal obstruction total number，as well as two groups of parents of children satisfied were recorded and studied.Result：The blood loss， postoperative exhaust time and postoperative bed time in the experimental group were significantly better than those in the reference group（P0.05）.The total number of adhesive intestinal obstruction in the experimental group was significantly better than that in the reference group（P0.05），the experimental group of children’s satisfaction with the total value of children compared with the reference group of children was statistical value（P0.05）.Conclusion：The treatment effect of laparoscopic appendectomy in children with acute appendicitis is better than open appendectomy，which has the effect of reducing the incidence of postopera