小切口开腹手术与腹腔镜手术治疗小儿阑尾炎的疗效对比

摘要

目的：比较小儿阑尾炎小切口开腹手术和腹腔镜手术的临床治疗效果。方法回顾性分析2010年1月—2015年1月由同一名可熟练开展小切口阑尾切除术和腹腔镜下阑尾切除术的医生手术的病人84例，随机分成两组，其中腹腔镜阑尾切除术39例（腹腔镜组），采用小切口开腹阑尾切除术45例（小切口组）。比较两种术式的手术时间、术后排气时间、术后住院时间以及术后切口感染情况。结果两组病人术后排气时间、住院时间以及切口感染方面差异均无统计学意义（P﹥0.05），但手术时间小切口组小于腹腔镜组（P﹤0.05）。结论小儿阑尾炎小切口手术与腹腔镜手术有类似的疗效和切口外观，小切口手术时间更短、更简捷，可以在小儿阑尾切除中广泛应用。%Objective To compare laparoscopic appendectomy (LA) and mini-incision open appendectomy (MOA) in terms of primary outcome measures.Methods A retrospective study was performed on patients who were operated by a single consultant surgeon between Jan. 2010 and Jan. 2015. A total of 84 cases were included, 39 patients in LA and 45 in MOA respectively. Outcomes regarding operative duration, peristalsis recovery time, hospital stay and postoperative complications were compared.Results The two groups were comparable in terms of peristalsis recovery time, hospital stay and postoperative complications (P﹥0.05). However, the operative duration of MOA group is significantly shorter than LA group (P﹤0.05).Conclusion MOA is an equivalent procedure and not inferior to LA in the management of child appendicitis.