目的 探讨经脐“︺ ”形切口小儿阑尾切除术治疗小儿阑尾炎的临床疗效。 方法 回顾性分析42例急性阑尾炎患儿行经脐“︺ ”形切口小儿阑尾切除术的临床资料,其中男23例,女19例; 年龄3～14岁,平均6.5岁。急性单纯性阑尾炎18例,慢性阑尾炎急性发作3例,急性化脓性阑尾炎18例,急性坏疽性阑尾炎3例,坏疽并穿孔2例。采用硬膜外麻醉或加基础麻醉,进行经脐“︺ ”形切口小儿阑尾切除术。 结果 41例手术成功,1例改腹腔镜手术,手术时间15～70 min,平均37 min。术后住院3～7 d,平均4.1 d。30例切口轻微红肿,10例脐窝有积液,2例切口感染换药,所有切口愈合后外观满意,无粘连性肠梗阻、阑尾残株炎、粪漏、腹腔脓肿等并发症的发生。 结论 经脐“︺ ”形切口小儿阑尾切除术安全有效,适应证宽,损伤小,费用低,且美容效果好。
Objective To explore the safety and feasibility of transumbilical “︺ ” incision appendectomy for infantile appendicitis in children. Methods Retrospective analyses were performed for clinical data of 42 cases of acute pediatric appendicitis via an umbilical cord “︺ ” incision. Results Among them, 41 were operated successfully. The average operative duration was 37(15-70)min and the average hospitalization stay 4.1(3-7)day. There were slightly red & swollen wound(n=30), umbilical effusion(n=10)and infected wound dressing(n=2).All wounds healed with satisfactory appearances. There was no onset of adhesive ileus, appendix stump inflammation, fecal leakage or intra-abdominal abscess. Conclusion With wide applications and excellent cosmetics, transumbilical “︺ ” incision appendectomy is mini-invasive, safe, effective and affordable.
