小儿阑尾周围脓肿的腹腔镜手术治疗
- 摘要:
- 目的探讨腹腔镜手术治疗小儿阑尾周围脓肿的治疗效果。方法选择经B超诊断为阑尾周围脓肿的患儿125例,男60例,女65例,年龄2.5-15岁,行腹腔镜探查手术,根据术中情况行腹腔镜下阑尾切除术、腹腔引流术。结果本组125例完成腹腔镜下阑尾脓肿切除术,并放置腹腔引流管。手术时间102.3±18.7min。无1例中转开腹,术后恢复顺利,术后0.9±0.6d排气,1.4±0.2d排便,1.5±0.6d全部病例体温正常,白细胞计数于术后3.4±1.2d恢复正常,引流持续时间2.4±0.3d,术后6.9±1.6d出院。随访2-8个月,无残余腹腔脓肿及粘连性肠梗阻。结论腹腔镜手术治疗是小儿阑尾周围脓肿的有效治疗手段。
相似文献/References:
[1]吕成超 黄河. 儿童慢性阑尾炎腹腔镜治疗28例临床分析[J].临床小儿外科杂志,2011,10(02):121.
[J].Journal of Clinical Pediatric Surgery,2011,10(02):121.
[2]杨全安 邓素勤. 小儿急性阑尾炎的腹腔镜手术治疗[J].临床小儿外科杂志,2011,10(04):310.
[J].Journal of Clinical Pediatric Surgery,2011,10(02):310.
[3]桂容花 彭旭 周福金 曲朝晖 张媛 马海峰. 腹腔镜与开腹手术治疗儿童坏疽性阑尾炎的比较[J].临床小儿外科杂志,2012,11(02):120.
[4]林松,苏迎春,周思海,等.加速康复外科理念在穿孔性阑尾炎中的应用[J].临床小儿外科杂志,2019,18(04):267.[doi:10.3969/j.issn.1671-6353.2019.04.004]
Lin Song,Su Yingchun,Zhou Sihai,et al.Application of enhanced recovery after surgery for perforated appendicitis[J].Journal of Clinical Pediatric Surgery,2019,18(02):267.[doi:10.3969/j.issn.1671-6353.2019.04.004]
[5]明葛东,朱鸿喜,陈晨,等.加速康复外科在腹腔镜治疗儿童复杂性阑尾炎中的应用[J].临床小儿外科杂志,2019,18(07):600.[doi:10.3969/j.issn.1671-6353.2019.07.016]
Ming Gedong,Zhu Hongxi,Chen Chen,et al.Application of fast-tract surgery in laparoscopic treatment of children with complicated appendicitis[J].Journal of Clinical Pediatric Surgery,2019,18(02):600.[doi:10.3969/j.issn.1671-6353.2019.07.016]
[6]周小兵,李冰心,陈爱军,等.3D腹腔镜手术治疗小儿阑尾周围脓肿[J].临床小儿外科杂志,2020,19(05):437.[doi:10.3969/j.issn.1671-6353.2020.05.012]
Zhou Xiaobing,Li Bingxin,Chen Aijun,et al.Role of three dimensional laparoscopy in the treatment of pediatric appendicural abscess[J].Journal of Clinical Pediatric Surgery,2020,19(02):437.[doi:10.3969/j.issn.1671-6353.2020.05.012]
[7]耿建磊,牛会忠,樊艳辉,等.超声可视化技术在急性阑尾炎腹腔镜手术患儿围手术期的应用[J].临床小儿外科杂志,2020,19(07):641.[doi:10.3969/j.issn.1671-6353.2020.07.016]
Geng Jianlei,Niu Huizhong,Fan Yanhui,et al.Effects of visible precision operation on inflammatory stress responses and immune functions in children undergoing laparoscopy for acute appendicitis[J].Journal of Clinical Pediatric Surgery,2020,19(02):641.[doi:10.3969/j.issn.1671-6353.2020.07.016]
[8]冯伟,赵旭峰,崔华雷.儿童急性阑尾炎病因学研究进展[J].临床小儿外科杂志,2021,20(06):592.[doi:10.12260/lcxewkzz.2021.06.016]
Feng Wei,Zhao Xufeng,Cui Hualei.Advances of etiology about acute appendicitis in children[J].Journal of Clinical Pediatric Surgery,2021,20(02):592.[doi:10.12260/lcxewkzz.2021.06.016]
[9]马普能,白强,李亚东,等.脐部两孔法腹腔镜手术治疗非复杂性阑尾炎的临床研究[J].临床小儿外科杂志,2021,20(09):857.[doi:10.12260/lcxewkzz.2021.09.011]
Ma Puneng,Bai Qiang,Li Yadong,et al.Clinical application of two-hole umbilical laparoscopy for non-complex appendicitis[J].Journal of Clinical Pediatric Surgery,2021,20(02):857.[doi:10.12260/lcxewkzz.2021.09.011]
[10]胡涛,黄光彬,高贺云,等.自制套扎线在儿童经脐单孔腹腔镜阑尾切除术中的应用[J].临床小儿外科杂志,2022,21(09):871.[doi:10.3760/cma.j.cn101785-202201023-014]
Hu Tao,Huang Guangbin,Gao Heyun,et al.Clinical application of self-inflicted ligation line during transumbilical laparoscopic single-hole appendectomy in children[J].Journal of Clinical Pediatric Surgery,2022,21(02):871.[doi:10.3760/cma.j.cn101785-202201023-014]