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目的:探讨和评价无钛夹腹腔镜小儿阑尾切除术的可行性和临床价值。方法:对166例不同类型的小儿阑尾炎实施无钛夹腹腔镜小儿阑尾切除术。结果:166例均临床治愈,平均住院时间3.8 d。早期有2例取标本孔感染,经门诊换药后治愈。135例随访2个月~5 a,创口瘢痕美观、无慢性腹痛及其他不良反应。结论:采用腹腔镜技术治疗不同类型的小儿阑尾炎,术中不使用钛夹,规避了钛夹对小儿机体潜在的不良侵扰,且操作简单,安全可靠,易于推广。
Objective: To investigate and evaluate the feasibility and clinical value of laparoscopic pediatric appendectomy without titanium clip. Methods: One hundred and sixty-six children with different types of pediatric appendicitis underwent laparoscopic pediatric appendectomy. Results: 166 cases were clinically cured, the average length of stay 3.8 d. In the early two cases take the hole infection, cured after outpatient dressing. 135 cases were followed up for 2 months to 5 years, wound scar appearance, no chronic abdominal pain and other adverse reactions. Conclusion: Laparoscopic treatment of different types of pediatric appendicitis, the use of titanium clips do not use, to avoid the titanium clip on the potential adverse child infestation in children, and the operation is simple, safe and reliable, easy to promote.