应用腹腔镜治疗小儿阑尾炎的不同术式探讨

目的探讨应用腹腔镜手术治疗小儿阑尾炎的不同术式的选择指征。方法回顾分析2008年10月-2012年10月采用腹腔镜对确诊并手术治疗的83例小儿阑尾炎的临床资料和手术治疗效果。结果腹腔镜术式选择分别是：脐部单孔法及右下腹部双孔法，无中转开腹，手术时间（40．2±10．7）min，术中出血（5±2．3）ml，肛门排气时间（9±2．9）h，住院时间（5±1．5）d，随访6—12个月，疗效显著。结论根据患儿具体的症状和体征，充分应用腹腔镜优势，选择最恰当的腹腔镜手术方式，以取得更好的临床疗效，值得在有条件的临床工作中普遍推广。

PROBE INTO THE DIFFERENT OPERATING METHOD IN LAPAROSCOPIC TREATMENT OF CHILDREN APPENDICITIS

Objective To discuss the indication of application of different operating method in laparoscopic treatment of children appendicitis. Methods Retrospectively analyze the clinical data of laparoscopy in the diagnosis and surgical treatment of 83 cases of pediatric appendicitis from October 2008 to October 2012. Results Laparoscopic surgical options are umbilical single - hole method and the right lower abdomen with two holes method, without conversion to laparotomy, operative time was （40. 2 ±10. 7 ） min, blood loss was （5.0 ±2. 3 ） ml, flatus （9. 0 ±2. 9） h, length of stay （5.0 ±1.5 ） d, followed up for 6 to 12 months, children with a significant effect. Conclusion According to children＇s specific symptoms and signs, fully applicate laparoscopic advantage to choose the most appropriate laparoscopic surgery method, in order to achieve better clinical efficacy, it is worthy of popularized in conditional clinical work.