【摘要】 目的探讨经脐"︺"形切口小儿阑尾切除术治疗小儿阑尾炎的临床疗效。方法回顾性分析42例急性阑尾炎患儿行经脐"︺"形切口小儿阑尾切除术的临床资料,其中男23例,女19例;年龄3～14岁,平均6.5岁。急性单纯性阑尾炎18例,慢性阑尾炎急性发作3例,急性化脓性阑尾炎18例,急性坏疽性阑尾炎3例,坏疽并穿孔2例。采用硬膜外麻醉或加基础麻醉,进行经脐"︺"形切口小儿阑尾切除术。结果 41例手术成功,1例改腹腔镜手术,手术时间15～70 min,平均37 min。术后住院3～7 d,平均4.1 d。30例切口轻微红肿,10例脐窝有积液,2例切口感染换药,所有切口愈合后外观满意,无粘连性肠梗阻、阑尾残株炎、粪漏、腹腔脓肿等并发症的发生。结论经脐"︺"形切口小儿阑尾切除术安全有效,适应证宽,损伤小,费用低,且美容效果好。更多还原

【Abstract】 Objective To explore the safety and feasibility of transumbilical "︺" incision appendectomy for infantile appendicitis in children. Methods Retrospective analyses were performed for clinical data of 42 cases of acute pediatric appendicitis via an umbilical cord "︺" incision. Results Among them,41 were operated successfully. The average operative duration was 37( 15-70) min and the average hospitalization stay 4. 1( 3-7) day. There were slightly red & swollen wound( n =30),umbilical effusion( n =10) and infected wound dressing( n = 2). All wounds healed with satisfactory appearances. There was no onset of adhesive ileus,appendix stump inflammation,fecal leakage or intra-abdominal abscess. Conclusion With wide applications and excellent cosmetics,transumbilical "︺" incision appendectomy is mini-invasive,safe,effective and affordable.更多还原