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目的探讨持续质量改进在预防小儿腹腔镜阑尾切除术后并发症中的作用。方法 2008年12月—2011年12月收治的小儿急性阑尾炎118例为对照组,行传统三孔法腹腔镜手术,2012年1月—2014年8月收治的224例同类型患儿为实验组,在行腹腔镜手术时注意持续质量改进,对比2组病例术后并发症发生情况。结果与对照组相比,实验组中的切口感染、腹腔脓肿、早期肠梗阻、再手术及住院时间差异均有统计学意义。结论小儿急性阑尾炎腹腔镜手术持续质量改进是非常必要的,它能有效减少术后并发症,减少术后住院时间。
Objective To investigate the role of continuous quality improvement in the prevention of complications after laparoscopic appendectomy in children. Methods A total of 118 children with acute appendicitis treated in our hospital from December 2008 to December 2011 were selected as the control group. The conventional three-hole laparoscopic surgery was performed in 224 cases of the same type from January 2012 to August 2014 , Laparoscopic surgery in the continuous improvement of quality attention, contrast 2 cases of postoperative complications. Results Compared with the control group, there were significant differences in incision infection, abdominal abscess, early intestinal obstruction, reoperation and hospital stay in the experimental group. Conclusion The continuous quality improvement of acute appendicitis laparoscopic surgery in children is very necessary. It can effectively reduce the postoperative complications and reduce the postoperative hospital stay.