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目的分析小儿阑尾炎行经脐孔单通道腹腔镜治疗的有效性。方法研究对象选取本院2014年4月至2015年3月收治的96例小儿阑尾炎患者,通过电脑随机的方式将患儿分为研究组和参照组各48例。参照组患儿接受一般的开腹手术治疗;研究组患儿接受经脐孔单通道腹腔镜治疗。对两组手术指标、并发症指标等结果进行观察对比。结果两组患者的手术均获得成功,其中经脐孔单通道腹腔镜治疗患儿的手术时间和住院时间短于参照组,对比差异显著(P<0.05);两组治疗费用差异小,无显著性(P>0.05);实验组患儿术后疼痛水平和并发症发生率均更低,对比对照组差异显著(P<0.05)。结论小儿阑尾炎行经脐孔单通道腹腔镜治疗的效果确切、损伤较小、术后并发症发生率较低,具有很高的应用价值。
Objective To analyze the effectiveness of pediatric appendicitis through laparoscopic single-channel laparoscopy. Methods Subjects 96 pediatric patients with appendicitis admitted from April 2014 to March 2015 in our hospital were randomly divided into study group (48 cases) and reference group (48 cases). Children in the reference group received general laparotomy; children in the study group received laparoscopic single-pass laparoscopy via the umbilicus. The two groups of surgical indicators, complications and other indicators were observed and compared. Results The operation of both groups was successful. Among them, the operation time and hospital stay in children undergoing single-channel laparoscopic umbilicus were shorter than those in the reference group (P <0.05). There was no significant difference between the two groups in the cost of treatment (P> 0.05). The postoperative pain and complication rates in the experimental group were lower than those in the control group (P <0.05). Conclusion Pediatric appendicitis through the umbilicus laparoscopic single-channel treatment of the exact effect, less damage, the incidence of postoperative complications is low, with high value.