刘昇+邓立才+陈济杭

【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（P<0.05），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（P<0.05），试验组患儿家长的满意率高于参照组，差异有统计学意义（P<0.05）。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（P<0.05）.The total number of adhesive intestinal obstruction in the experimental group was significantly better than that in the reference group（P<0.05），the experimental group of childrens satisfaction with the total value of children compared with the reference group of children was statistical value（P<0.05）.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 postoperative adhesive intestinal obstruction.

【Key words】 Laparoscopic appendectomy； Open appendectomy； Postoperative adhesive intestinal obstruction

First-authors address：Fuzhou Childrens Hospital，Fuzhou 350001，China

急性闌尾炎属于相对比较常见的外科疾病，主要是因多种因素导致炎性变化状况，具备比较高的发病概率，近几年来，急性阑尾炎患儿发病例数呈增多现象。而急性阑尾炎患儿的治疗过程中若治疗方式不恰当，易出现术后粘连性肠梗阻等术后并发症出现，对其术后恢复具备严重不良影响[1]。选取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，分析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对其术后出现粘连性肠梗阻症状的影响。

1 资料与方法

1.1 一般资料

参照手术治疗方法差异性对2014年1月-2017年1月笔者所在医院儿科收治的60例急性阑尾炎患儿分组研究，纳入标准：确诊存在急性阑尾炎的患儿；……