文章摘要
蔡宝,徐冰,胡耀宗,等.合并粪石的小儿阑尾周围脓肿一期腹腔镜手术20例[J].安徽医药,2019,23(8):1635-1636.
合并粪石的小儿阑尾周围脓肿一期腹腔镜手术20例
Twenty cases of laparoscopy appendectomy for the treatment of children periappendiceal abscess with appendiceal faeces
投稿时间:2019-01-18  
DOI:
中文关键词: 阑尾炎  腹部脓肿  粪便嵌顿  阑尾切除术  腹腔镜检查  儿童
英文关键词: Appendicitis  Abdominal abscess  Fecal impaction  Appendectomy  Laparoscopy  Child
基金项目:
作者单位
蔡宝 安徽医科大学附属安庆医院小儿外科,安徽 安庆 246003 
徐冰 安徽医科大学附属安庆医院小儿外科,安徽 安庆 246003 
胡耀宗 安徽医科大学附属安庆医院小儿外科,安徽 安庆 246003 
张发明 安徽医科大学附属安庆医院小儿外科,安徽 安庆 246003 
黄珊 安徽医科大学附属安庆医院小儿外科,安徽 安庆 246003 
田甲 安徽医科大学附属安庆医院小儿外科,安徽 安庆 246003 
吴凡 安徽医科大学附属安庆医院小儿外科,安徽 安庆 246003 
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中文摘要:
      目的 探讨腹腔镜手术一期治疗合并有阑尾粪石的小儿阑尾周围脓肿的可行性。方法 收集安徽医科大学附属安庆医院2016年10月至2017年10月小儿阑尾周围脓肿20例,均合并有阑尾粪石,一期行腹腔镜手术治疗,记录术中情况,观察分析术后恢复情况。结果 20例均一期行腹腔镜下阑尾切除术,并常规留置腹腔引流,无中转开腹。手术时间(68.4±12.7)min,术中出血(22.5±8.1)mL,术后住院时间(6.3±2.2)d。术后切口感染1例,腹腔残余脓肿1例,粘连性肠梗阻1例,均经对症处理后痊愈。术后随访6[KG-*3]~18月,无其他并发症。结论 腹腔镜手术一期治疗合并有阑尾粪石的小儿阑尾周围脓肿安全、可行。
英文摘要:
      Objective To explore the feasibility of laparoscopic surgery in the treatment of pediatric periappendiceal abscess with appendiceal faeces.Methods A total of 20 cases of pediatric periappendiceal abscess with appendiceal faeces were treated with laparoscopic surgery from October 2016 to October 2017 in Anqing Hospital Affiliated to Anhui Medical University.Intraoperative conditions were recorded,and postoperative recovery was observed.Results All the 20 cases underwent laparoscopic appendectomy and conventional indwelling peritoneal drainage,with no conversion to open laparotomy.The operation time was (68.4±12.7) min,the intraoperative blood loss was (22.5±8.1) mL and the postoperative hospitalization time was (6.3±2.2) days.There was one case of wound infection,one case of abdominal abscess and one case of intestinal obstruction.All were cured with conservative therapy.No other complications were found during 6-18 months of follow-up.Conclusion The application of laparoscopic surgery in the treatment of pediatric periappendicural abscess with appendiceal faeces is safe and feasible.
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