目的探讨经脐腹腔镜与传统腹腔镜治疗小儿急性阑尾炎的临床效果。方法 110例急性阑尾炎患儿随机分为观察组和对照组,每组55例。分别采用经脐腹腔镜和传统腹腔镜治疗,比较两组患儿手术时间、术中出血量、肛门排气时间、下床活动时间、住院时间、并发症发生率及患儿家属满意度。结果观察组手术时间长于对照组,下床活动时间早于对照组,住院时间短于对照组,两组间比较差异有统计学意义(P<0.05);观察组患儿并发症总发生率低于对照组,家属对手术满意度明显高于对照组,两组比较差异有统计学意义(P<0.05)。结论经脐腹腔镜治疗小儿急性阑尾炎可减少对患儿的创伤,缩短住院时间并减少并发症发生,具有显著治疗效果,值得在临床中推广应用。 Objective To investigate the clinical effect of transvaginal laparoscopy and conventional laparoscopy in the treatment of acute appendicitis in children. Methods 110 cases of acute appendicitis were randomly divided into observation group and control group, 55 cases in each group. Urethral laparoscopic and conventional laparoscopic treatment were used respectively. The operation time, intraoperative blood loss, anal exhaust time, ambulation time, hospital stay, complication rate and the satisfaction degree of the children in the two groups were compared. Results The operation time in the observation group was longer than that in the control group. The time for getting out of bed was earlier than that in the control group, and the length of stay in the observation group was shorter than that in the control group (P <0.05). The overall complication rate in the observation group was significantly lower In the control group, the relative satisfaction of the family members was significantly higher than that of the control group, the difference between the two groups was statistically significant (P <0.05). Conclusion The treatment of acute appendicitis in children with umbilical laparoscopy can reduce the trauma to children, shorten the length of hospital stay and reduce the incidence of complications, with significant therapeutic effect, which is worth popularizing in clinic.