[1]孙忠博.腹壁缝合穿刺针辅助小儿腹腔镜阑尾切除术的临床疗效与优势研究[J].医学信息,2023,36(03):140-143.[doi:10.3969/j.issn.1006-1959.2023.03.029]
　SUN Zhong-bo.Study on the Clinical Efficacy and Advantages of Laparoscopic Appendectomy Assisted by Abdominal Wall Suture Puncture Needle in Children[J].Journal of Medical Information,2023,36(03):140-143.[doi:10.3969/j.issn.1006-1959.2023.03.029]
点击复制

腹壁缝合穿刺针辅助小儿腹腔镜阑尾切除术的临床疗效与优势研究()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年03期
页码:
140-143
栏目:
临床研究
出版日期:
2023-02-01

文章信息/Info

Title:
Study on the Clinical Efficacy and Advantages of Laparoscopic Appendectomy Assisted by Abdominal Wall Suture Puncture Needle in Children
文章编号:
1006-1959（2023）03-0140-04
作者:
孙忠博
（佳木斯市中心医院儿外科，黑龙江 佳木斯 154002）
Author(s):
SUN Zhong-bo
(Department of Pediatric Surgery,Jiamusi Central Hospital,Jiamusi 154002,Heilongjiang,China)
关键词:
腹壁缝合穿刺针; 小儿腹腔镜; 阑尾切除术
Keywords:
Abdominal wall suture puncture needle; Laparoscopy in children; Appendectomy
分类号:
R726.5
DOI:
10.3969/j.issn.1006-1959.2023.03.029
文献标志码:
A
摘要:
目的 探究腹壁缝合穿刺针辅助小儿腹腔镜阑尾切除术的临床疗效与优势。方法 选取2020年1月-2021年12月我院接诊的50例小儿阑尾炎患儿为研究对象，采用随机数字表法分为对照组和观察组，各25例。对照组采用传统腹腔镜切除术治疗，观察组采用腹壁缝合穿刺针辅助法治疗，比较两组临床手术指标、疼痛评分（VAS）、切口美观满意度、应激反应指标以及并发症发生率。结果 观察组手术时间、术后胃肠功能恢复时间均小于对照组（P＜0.05），但术中出血量、住院时间与对照组比较，差异无统计学意义（P＞0.05）；观察组术后疼痛评分小于对照组（P＜0.05）；观察组美观满意度为96.00%，高于对照组的84.00%（P＜0.05）；两组血清去甲肾上腺素（NE）、皮质醇（COR）均升高，但观察组低于对照组（P＜0.05）；观察组并发症发生率为8.00%，低于对照组的20.00%（P＜0.05）。结论 腹壁缝合穿刺针辅助小儿腹腔镜阑尾切除术具有显著的效果，可缩短手术时间，促进术后胃肠功能恢复，减轻患者术后疼痛度，且术后瘢痕更隐蔽，可提高切口美观满意度，降低并发症发生率，具有临床应用的显著优势，值得临床应用。
Abstract:
Objective To explore the clinical effect and advantage of laparoscopic appendectomy assisted by abdominal wall suture puncture needle in children.Methods From January 2020 to December 2021, 50 children with appendicitis in our hospital were selected as the research objects. They were divided into control group and observation group by random number table method, with 25 cases in each group. The control group was treated with traditional laparoscopic resection, and the observation group was treated with abdominal wall suture puncture needle assisted method. The clinical operation index, pain score (VAS), incision aesthetic satisfaction, stress response index and complication rate were compared between the two groups.Results The operation time and postoperative gastrointestinal function recovery time of the observation group were less than those of the control group (P<0.05), however, there was no significant difference in intraoperative blood loss and hospitalization time between the observation group and control group (P>0.05). The aesthetic satisfaction of the observation group was 96.00%, which was higher than 84.00% of the control group (P<0.05). Serum norepinephrine (NE) and cortisol (COR) increased in both groups, but the observation group was lower than the control group (P<0.05). The incidence of complications in the observation group was 8.00%, which was lower than 20.00% in the control group (P<0.05).Conclusion Abdominal wall suture puncture needle assisted laparoscopic appendectomy in children has a significant effect, which can shorten the operation time, promote the recovery of postoperative gastrointestinal function, reduce the postoperative pain of patients, and the postoperative scar is more concealed. Meanwhile, it can improve the aesthetic satisfaction of incision and reduce the incidence of complications. It has significant advantages in clinical application and is worthy of clinical application.

参考文献/References:

[1]项海,项秉该,林振亮,等.三孔与单孔腹腔镜切除术式治疗急性阑尾炎合并胆囊结石的疗效对比[J].中国内镜杂志,2017,23(1):65-69.[2]Di Saverio S,Birindelli A,Kelly MD,et al.WSES Jerusalem guidelines for diagnosis and treatment of acute appendicitis[J].World Journal of Emergency Surgery,2016,11(1):34.[3]朱峰毅,陈涛,傅赞,等.内镜逆行阑尾炎治疗术对不典型急性阑尾炎的诊断与治疗价值[J].中华消化内镜杂志,2018,35(8):571-575.[4]谢琼,李一冰,姬红丽.PAS联合超声用于小儿急性阑尾炎及肠系膜淋巴结炎诊断的临床价值[J].河北医科大学学报,2017,38(8):925-928.[5]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.[6]徐晓青,杨广承,王玉红,等.单孔传统腹腔镜与常规开放阑尾切除手术治疗小儿阑尾炎的效果比较[J].中国地方病防治杂志,2017,32(12):1412.[7]许东,徐红艳,于浩,等.经脐单孔与传统三孔腹腔镜阑尾切除术的比较[J].中国微创外科杂志,2016,16(9):787-788.[8]丁萌.经脐单孔腔镜手术对急性阑尾炎患儿胃肠功能恢复及并发症的影响[J].山西医药杂志,2020,49(7):839-841.[9]孙博.小切口阑尾切除术治疗急性阑尾炎患者的疗效及安全性分析[J].中国药物与临床,2019,19(10):1656-1657.[10]曹美美,次玲娟,张坚.小儿急性阑尾炎与肠系膜淋巴结炎鉴别诊断中高频超声的应用及准确性分析[J].临床和实验医学杂志,2020,19(24):2676-2679.[11]姜纪清.腹腔镜阑尾切除术对急性化脓性阑尾炎患者VAS评分及并发症的影响[J].基层医学论坛,2020,24(14):1967-1968.[12]袁博,张岚,唐海灵,等.传统开腹和腹腔镜手术对急性阑尾炎患者临床疗效、胃肠功能以及并发症的影响[J].解放军医药杂志,2019,31(12):85-89.[13]郑环宇,夏巨坤.内镜下逆行阑尾炎术治疗急性阑尾炎患儿的效果观察及对免疫功能和炎症因子水平的影响[J].海军医学杂志,2021,42(4):461-465.[14]贺诗铭,杨勇,刘维政,等.腹腔镜阑尾切除术对阑尾炎患者的疗效及对血清hs-CRP的影响[J].河北医学,2019,25(9):1552-1556.[15]Minneci PC,Hade EM,Lawrence AE,et al.Midwest Pediatric Surgery Consortium. Association of Nonoperative Management Using Antibiotic Therapy vs Laparoscopic Appendectomy With Treatment Success and Disability Days in Children With Uncomplicated Appendicitis[J].JAMA,2020,324(6):581-593.[16]杨军,余世万,孙凯,等.免气腹单孔腹腔镜切除术对阑尾炎患儿应激反应及康复效果的影响[J].实用医院临床杂志,2020,17(3):92-94.[17]孙皓,张蕾,李香,等.腹壁缝合穿刺针辅助小儿腹腔镜阑尾切除术的临床疗效与优势评价[J].临床小儿外科杂志,2019,18(9):771-774.[18]王野,刘志升,张圣林,等.钩针辅助经脐双孔腹腔镜下阑尾切除术52例[J].中国中西医结合外科杂志,2016,22(3):274-276.[19]韩红波,庞世刚,郭天华,等.穿刺针辅助经脐单部位腹腔镜小儿阑尾切除术的临床疗效分析[J].国际医药卫生导报,2019,11(8):45-48.[20]刘雪来,张永婷,费川,等.双钩套扎针辅助小儿单部位腹腔镜阑尾切除术[J].中国微创外科杂志,2017,17(4):340-343.

更新日期/Last Update: 1900-01-01