目的 探讨超声可视化技术在腹腔镜手术治疗急腹症患儿中的应用价值。方法 选取2017-08至2019-08河北省儿童医院收治的急腹症患儿180例为研究对象,随机分为对照组和实验组,各90例。对照组给予腹腔镜手术治疗,实验组在腹腔镜手术中使用超声可视化技术协助。比较两组术中指标(手术时间、手术出血量)、术后恢复指标(下床活动时间、肠鸣音恢复时间、术后排气时间、住院时间)、并发症发生情况。结果 实验组患儿手术时间、下床活动时间、肠鸣音恢复时间、术后排气时间、住院时间与对照组比较明显缩短;实验组术中出血量较对照组明显减少、并发症发生率较对照组明显降低(P＜0.05)。结论 超声可视化技术在腹腔镜手术治疗急腹症患儿中的应用效果较好,有利于促进患儿恢复,降低并发症。
Abstract
Objective To explore the application value of visible precision operation in laparoscopic treatment of acute abdomen for children.Methods A total of 180 children with acute abdomen who were admitted in our hospital from Aug 2017 to Aug 2019 were enrolled in the study. Children were randomly divided into experimental group (n=90) and control group (n=90). Children in the control group were received laparoscopic surgery, and those in the experimental group were assisted with visible precision operation to perform laparoscopic surgery. The operation time, surgical blood loss, ambulation time, recovery time of bowel sound, postoperative exhaust time, length of hospital stay, complications were compared between two groups.Results The operation time, ambulation time, recovery time of bowel sound, postoperative exhaust time, length of hospital stay in experimental group were shorter than those in the control group, surgical blood loss in experimental group were less than those in the control group, complications in experimental group were decreased than those in the control group (P＜0.05). After operation, there was significant difference in the above indexes between the two groups (P＜0.05).Conclusions Visible precision operation has good application effects in the perioperative period in children patients with acute abdomen. It can significantly reduce postoperative inflammation reaction, accelerate postoperative recovery and cause fewer postoperative complications.
关键词
可视化精准操作 /
急腹症 /
腹腔镜手术
Key words
visible precision operation /
acute abdomen /
laparoscopic treatment
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