腹壁吻合器輔助單孔腹腔鏡治療闌尾炎患兒的臨床價(jià)值研究

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Clinical value abdominal wall stapler-asisted single-port laparoscopy in the treatment children with appendicitisFeng Zhiqiang，F(xiàn)u Yan.“ ， Shong ，

【Abstract】ObjectiveTo explore the clinical value abdominal wall stapler-asisted single- port laparoscopy in the treatment children with appendicitis.MethodsUsing the stratifiedromgrouping method，86children with appendicitisadmited to the hospital from June2O22 to June 2O24 were divided intoan observation group a control group，with 43 cases in each group.The control group underwent traditional threeport laparoscopicsurgery，while the observationgroupunderwentabdominal wall stapler-assistedsingle-port laparoscopic surgery.Therelated perioperativeindicators，pain degree， theincidence complicationswere compared between the two groups.ResultsSurgery time，intraoperative blood loss，postoperative extubation time hospital stay the observation group were shorter less compared to the control group （ P <0.05）. Both groupsshowed decreases in the Visual Analogue Scale （VAS） scores at 24 h，48 h 72 h after surgery. Meanwhile，the VAS scores the observation group were much lower than those the control group （ P <0.05）. Thetotal incidence rates incision infection，scar hyperplasia，subcutaneous emphysema， postoperative fever in the two groups were close （P>0.05） .ConclusionApplying abdominal wall stapler - assisted single - port laparoscopy to treat children withappendicitiscan alleviatepostoperative pain promotepostoperative recovery， with good safety.

【Key Words】Appendicitis; ; Abdominal wall stapler; Single-port laparoscopy

闌尾炎是由闌尾管腔阻塞、細(xì)菌感染等因素引起的急腹癥，主要表現(xiàn)為轉(zhuǎn)移性右下腹疼痛、發(fā)熱、惡心嘔吐等，該病發(fā)病率高，病情變化快，且患兒免疫力低下，感染易擴(kuò)散，引起彌漫性腹膜炎、化膿性門靜脈炎、腸粘連等嚴(yán)重并發(fā)癥，威脅患兒的生命安全[。（剩余3888字）