可吸收夹和丝线结扎腹腔镜阑尾切除术治疗小儿阑尾炎的对比分析(1)
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[摘要] 目的 探讨和评价可吸收夹和丝线结扎法腹腔镜小儿阑尾切除术的临床意义。 方法 2006年1月1日～2011年1月1日，本院共收治小儿阑尾炎159例，行丝线结扎法腹腔镜小儿阑尾切除术79例，同时期行可吸收夹法腹腔镜小儿阑尾切除术80例。对比分析实施可吸收夹和丝线结扎法腹腔镜阑尾切除术在小儿阑尾炎手术中的特点，观察两组患者的手术效果、并发症、住院费用。 结果 两者比较，在手术时间、术后恢复、手术操作、术后并发症差异无统计学意义(P > 0.05)；住院住院费用差异具有统计学意义(P < 0.01)。 结论 可吸收夹和丝线结扎法腹腔镜小儿阑尾切除术, 手术操作和临床疗效基本相同, 但丝线结扎法住院费用低廉, 值得在基层医院推广。
[关键词] 可吸收夹；阑尾切除术；腹腔镜；儿童
[中图分类号] R656.8 [文献标识码] A [文章编号] 1674-4721(2012)07(a)-0063-02
Comparative analysis between absorble clip and silk thread ligature laparoscopic appendectomy in the treatment of pediatric appendicitis
SUN Yongke1 LUO Xing2 ZHAO Guogang3
1.Department of General Surgery, Mental Health Center of Cangxi County in Sichuan Province, Cangxi 628400, China; 2.Department of General Surgery, the Second People′s Hospital of Cangxi County in Sichuan Province, Cangxi 628400, China; 3.Department of General Surgery, the Affiliated Hospital of North Sichuan Medical College (Hepatobiliary-pancreatic-intestinal Institute of Sichuan Medical College), Sichuang Province, Nanchong 637000, China
[Abstract] Objective To explore and evaluate the clinical significance of absorbable clips and silk thread ligation method laparoscopic pediatric appendectomy. Methods There were 159 cases of pediatric appendicitis patients in our hospital from January 1st 2006 to January 1st 2011. 79 cases of children were treated with silk thread ligature method laparoscopic pediatric appendectomy, at the same time 80 cases of of children were treated with absorble clip method laparoscopic pediatric appendectomy. The characteristics between implementation of absorble clip and silk thread ligature method laparoscopic appendectomy in pediatric appendicitis operation were compared, and the operation effect, complication, hospitalization expense of the two groups were observed ......
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