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目的 评价小儿腹腔镜阑尾切除术 (laparoscopicappendectomy ,LA)的效果。 方法 对比分析LA组 (n =89)和开腹阑尾切除术 (openappendectomy,OA)组 (n =90 )的手术效果、住院时间、费用支出和患者满意程度。 结果 LA组较OA组手术时间显著延长 [(5 7± 2 )minvs (43± 1)min ,t=6 2 82 ,P =0 0 0 0 ],总医疗费用显著降低 [(15 2 91± 4 99)元vs.(174 4 2±5 4 4 )元 ,t=- 2 912 ,P =0 0 0 4 ],住院时间显著缩短 [(2 9± 0 2 )dvs.(3 6± 0 2 )d ,t=- 2 4 75 ,P =0 0 14 ],两组手术并发症发生率和病人满意度调查无明显差别 (χ2 =0 119,P =0 730 ;χ2 =0 4 35 ,P =0 5 0 9)。 结论 两种术式同样有效 ,LA不增加医疗费用 ,LA微创特点和探查腹腔更具优越性 ,提倡用于小儿阑尾炎。
Objective To evaluate the effect of laparoscopic appendectomy (LA) in children. Methods The operative effects, hospitalization time, expenses and patient satisfaction in LA group (n = 89) and open appendectomy group (n = 90) were compared and analyzed. Results The operation time of LA group was significantly longer than that of OA group [(57 ± 2) min vs (43 ± 1) min, t = 6282, P = 0 0 0 0] 499) yuan vs. (174 4 2 ± 5 4 4) yuan, t = -2 912, P = 0 0 0 4], and the hospitalization time was significantly shorter [(29 ± 0 2) dvs. 2) d, t = -2475, P = 0 0 14]. There was no significant difference between the two groups in the incidence of surgical complications and patient satisfaction (χ2 = 0 119, P = 0 730; P = 0 5 0 9). Conclusions Both procedures are equally effective. LA does not increase medical expenses, LA minimally invasive features and exploration of the abdominal cavity more advantages, advocated for pediatric appendicitis.