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目的:探究并对比腹腔镜与开腹手术治疗小儿急性阑尾炎临床效果。方法:选取2012年12月到2016年12月期间收治的60例急性阑尾炎患儿作为研究对象,将其按照随机数字表法进行分组,分为实验组和参照组,各30例。将采取开腹手术治疗患儿作为参照组,将采取腹腔镜手术治疗的患儿作为实验组。对比两组患儿的临床效果。结果:实验组患儿的并发症发生率明显低于参照组,经统计学计算,组间差异具备统计学意义(p<0.05)。实验组患儿的手术时间、肛门排气时间、住院时间和术中出血量与参照组相比较,组间差异显著,统计学意义存在(p<0.05)。结论:对急性阑尾炎患儿予以腹腔镜与开腹手术治疗,采用腹腔镜手术的患儿取得明显效果,手术方式具有恢复快、创伤小等优点,并发症少,值得临床上借鉴和进一步普及。
Objective: To explore and compare the clinical effects of laparoscopy and laparotomy in children with acute appendicitis. Methods: A total of 60 children with acute appendicitis admitted from December 2012 to December 2016 were selected as study subjects and divided into experimental group and control group, with 30 cases in each group. Children taking laparotomy as a reference group will take laparoscopic surgery in children as the experimental group. Compare the clinical effect of two groups of children. Results: The incidence of complication in experimental group was significantly lower than that in reference group. There was statistical significance between the two groups (p <0.05). There was significant difference between the two groups (p <0.05). There was significant difference between the two groups in the operation time, anal exhaust time, hospitalization time and intraoperative blood loss. Conclusion: Laparoscopy and laparotomy were performed in children with acute appendicitis. Laparoscopic surgery in children with significant effect, the operation has the advantages of rapid recovery, small trauma, fewer complications, it is worth learning from and further universal.