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目的比较3种不同手术方式治疗小儿复杂阑尾炎的临床效果。方法将小儿复杂阑尾炎患儿288例,随机分为A、B、C三组,每组96例。A组给予腹腔镜下手术治疗,B组给予使用可吸收线皮内缝合的传统开腹手术治疗,C组给予使用传统丝线间断缝合的传统开腹手术治疗。术后分别统计3组患儿手术时间、术中出血量、肠功能恢复时间及住院时间,观察3组患儿治疗有效率及术后并发症发生率。结果 A组手术时间、肠功能恢复时间及住院时间最短,术中出血量及并发症发生率最少,治疗有效率最高,B组次之,C组最差,差异均有统计学意义(P<0.05)。结论腹腔镜下手术可作为治疗小儿复杂阑尾炎首选手术方法。
Objective To compare the clinical effects of three different surgical methods in the treatment of children complicated appendicitis. Methods 288 children with complicated appendicitis in children were randomly divided into A, B, C three groups, 96 cases in each group. Group A received laparoscopic surgery, Group B received conventional laparotomy using absorbable intradermal suture, and Group C received conventional laparotomy using conventional silk suture closure. After operation, the operation time, intraoperative blood loss, intestine function recovery time and hospital stay in each group were calculated. The treatment efficiency and the incidence of postoperative complications in the three groups were observed. Results The operation time, the recovery time of intestinal function and the length of stay in group A were the lowest, the incidence of intraoperative blood loss and complication were the lowest, the treatment was the highest, group B was the second and group C was the worst, with significant difference (P < 0.05). Conclusion Laparoscopic surgery can be used as the first choice of surgical treatment of children complicated appendicitis.