Feng Wei,Cui Hualei,Zhao Xufeng,et al.Influencing factors of postoperative adhesive ileus in children with acute appendicitis[J].Journal of Clinical Pediatric Surgery,,20():253-256,262.[doi:10.12260/lcxewkzz.2021.03.010]
Influencing factors of postoperative adhesive ileus in children with acute appendicitis
- Keywords:
- Acuteappendicitis/SU; Intestinal Obstruction/SU; Intestinal Obstruction/ET; Laparoscopy; Child
- CLC:
- R726;R574.2;R656.8
- Abstract:
- Objective To explore the influencing factors of postoperative adhesive ileus (AI) for children with acute appendicitis and preventive measures. Methods A collection of 168 patients with AA who underwent appendectomy in Tianjin Children’s Hospital from January 2014 to June 2017 were the research subjects. According to whether AI will occur after surgery, they were divided into obstruction group (n=42) and non-obstruction group (n=126).Two groups were retrospectively analyzed with regards to gender,age,disease course,type,perforation,surgical approach,operative duration,indwelling drainage tube,preoperative related inflammation parameters,such as procalcitonin (PCT),C-reactive protein (CRP),leucocyte & neutrophil.Multivariate Logistic regression analysis was performed for these factors. Results There was a correlation between onset of postoperative AI and age in 42 cases (r=0.535,P<0.05).Multivariate Logistic analysis indicated that longer disease course (OR=1.071,95%CI:1.040-1.104) and higher PCT (OR=1.735,95%CI:1.178-2.555) were two risk factor of AI while higher age (OR=0.966,95%CI:0.945-0.987),male gender (OR=0.199,95% CI:0.049-0.802) and laparoscopy (OR=0.092,95%CI:0.015-0.543) were protective factors. Conclusion Disease course,PCT,age,gender and surgical approaches are major influencing factors of postoperative AI.When acute appendicitis fulfills the operative indications,pediatric laparoscopic appendectomy should be performed as early as possible.For children with lower age and higher PCT index,postoperative AI should be closely watched.
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Memo
收稿日期:2019-04-22。
基金项目:天津市科技计划项目（编号：14RCGFSY00150）
通讯作者:崔华雷,Email:chlfjp@sina.com