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目的探讨腹腔镜在小儿阑尾切除术中的应用价值。方法回顾性分析2005年9月至2006年12月应用腹腔镜三孔法行小儿阑尾切除术36例的临床资料。结果36例均顺利完成手术,手术时间30~90 min,平均50 min。术后3~5 d出院。术后并发穿刺孔周围发生皮下气肿1例,并发腹腔内脓肿1例。28例随访3~15个月,平均9个月,无肠梗阻、腹腔内残余感染等发生。结论腹腔镜小儿阑尾切除术创伤小,并发症少,安全,疗效确切。
Objective To investigate the value of laparoscopy in appendectomy in children. Methods The clinical data of 36 cases with pediatric appendectomy underwent laparoscopic three-hole method from September 2005 to December 2006 were retrospectively analyzed. Results All the 36 cases completed the operation smoothly, the operation time was 30-90 minutes, with an average of 50 minutes. 3 to 5 days after discharge. One case of subcutaneous emphysema occurred around the puncture hole and one case suffered intraperitoneal abscess. 28 cases were followed up for 3 to 15 months, an average of 9 months, no intestinal obstruction, intra-abdominal residual infection occurred. Conclusion Laparoscopic pediatric appendectomy trauma, fewer complications, safety, curative effect.