小儿急腹症应用腹腔镜治疗的优势和安全性

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Abstract Objective To explore the advantages and safety of laparoscopic treatment of acute abdomen in children.Methods The data of 837 children with acute abdomen treated in Sanming First Hospital Affiliated to Fujian Medical University from October 2016 to August 2019 were retrospectively analyzed,and were divided into two groups according to different surgical methods,in which 468 cases as observation groups were treated with laparoscopic surgery and 369 cases as the control group was treated with open surgery.The surgical indexes,treatment effects and complications of the two groups were compared.Results The intraoperative blood loss was (23.51±1.21) mL of the observation group,which was less than that of the control group of(38.89±1.57)mL,the operation time was(48.52±1.32)min,and the anal exhaust time was (2.05±0.35) d,hospitalization time was (5.11±1.24) d,which were shorter than those of the control group of (89.85±1.54) min,(4.65±1.24) d,(7.69±1.54) d,the differences were statistically significant (P＜0.05).The treatment total effective rate of the observation group was 98.93%,higher than that in the control group of 90.51%,which was statistically significant (P＜0.05).The total complication rate of the observation group was 2.35%,lower than that in the control group of 13.82%,the difference was statistically significant (P＜0.05).Conclusion The use of laparoscopic surgery in the treatment of acute abdomen in children is safer,and it can shorten the length of hospitalization and surgery,and improve the overall efficiency of treatment.It is worthy of promotion.

Key words： Laparoscopy Pediatric acute abdomen Treatment Application Advantages

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	Articles by authors
	HUANG Ke-chu
	ZHENG Zhen-hua
	YOU En-long
	WU Zhen-zhen
	CHEN Du-jian
	CHEN De-xu
	LUO Zeng-jun

Cite this article:

HUANG Ke-chu,ZHENG Zhen-hua,YOU En-long, et al. Advantages and safety of laparoscopic treatment of acute abdomen in children[J]. 中国当代医药, 2020, 27(34): 129-131转144.

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https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2020/V27/I34/129

[1]	张统一，唐健雄.急腹症诊治中使用腹腔镜技术的研究及体会[J].国际外科学杂志，2018，45（10）：653-656.
[2]	朱琳琳，徐伟珏，刘江斌，等.儿童腹腔镜疝囊高位结扎术与传统疝囊高位结扎术的疗效对比分析[J].中华小儿外科杂志，2019，40（2）：122-126.
[3]	熊明涛.腹腔镜在外科急腹症诊断及治疗中的应用[J].中国医药科学，2012，2（11）:179-180.
[4]	高德明，吴金生.现代急腹症学[M].北京：人民军医出版社，2002：501-505.
[5]	江毅.腹腔镜治疗急腹症的临床效果分析[J].白求恩军医学院学报，2019，17（2）：141-142.
[6]	熊祥华，周辉霞，曹华林，等.机器人辅助腹腔镜小儿上尿路手术的体位、操作通道设计和机械臂安装应用体会[J].中华泌尿外科杂志，2018，39（8）：601-605.
[7]	刁美，李龙，叶茂，等.腹腔镜与开放胆总管囊肿术后胆道梗阻二次手术的对比研究[J].中华小儿外科杂志，2018，39（4）：279-284.
[8]	侯家伟.腹腔镜在一般急性腹部中的应用临床研究[J].中国健康营养，2019，29（8）：146.
[9]	贾学伟，刘汉波，张宏银.腹腔镜手术在普外科急腹诊治中的临床应用价值[J].医学信息，2018，31（Z1）：308-309.
[10]	史小海，刘卫怀，孙明飞，等.血清降钙素原检测在急诊急诊急诊中的应用及其临床价值[J].中国现代医生，2019，57（25）：36-38.
[11]	刘俊梅，张建江，史佩佩，等.紫癜，腹痛，大量腹水[J].中华实用儿科临床杂志，2017，32（5）：380-383.
[12]	张和平，赵海军，李琳，等.急性坏疽性阑尾炎腹腔镜及开腹手术后并发症对比研究[J].国际外科学杂志，2019，46（3）：160-163，封3.
[13]	高亚超，潘定宇.腹腔镜与开腹手术治疗糖尿病并发急性化脓性阑尾炎临床对照研究[J].临床军医杂志，2019，47（8）：867-868.
[14]	刘坤鹏，马静，邢宝平，等.腹腔镜阑尾切除术治疗急性阑尾炎的效果[J].中国临床研究，2019，32（5）：657-660.
[15]	李超，汪宏，刘玉海.外科腹腔镜下阑尾切除术联合经腹膜前腹股沟疝修补术的临床可行性探讨[J].河北医科大学学报，2019，40（7）：799-802.
[16]	李世宽，成良栋，李元博，等.成人急性复杂性阑尾炎发病高危因素分析[J].中华胃肠外科杂杂，2018，21（12）：1374-1379.