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随着腹腔镜外科技术的发展,急性阑尾炎也成了腹腔镜手术的适应证。腹腔镜具有微创、术野清晰,手术时间短等优势,随之腹腔镜在儿童急性阑尾炎中的应用也得到大量实践。但由于儿童大网膜发育不成熟,病史不典型病情进展快,阑尾壁薄,阑尾易发生坏疽穿孔风险性较高,如何选择手术方式是临床亟待关注的课题。选择2009-01-2010-06我院收治14岁以下急性阑尾炎患者38例,分别采用腹腔镜和开腹手术治疗,现报告如下。
With the development of laparoscopic surgery, acute appendicitis has also become indications of laparoscopic surgery. Laparoscopy with minimally invasive, clear surgical field, short operative time, etc., followed by laparoscopic acute appendicitis in children has also been a lot of practice. However, due to the immature development of children’s omental, atypical history of the disease progresses rapidly, the appendix wall is thin, appendix prone gangrenous perforation risk is high, how to choose the surgical approach is a clinical topic of urgent concern. Select 2009-01-2010-06 Our hospital admitted to the age of 14 patients with acute appendicitis 38 cases were treated with laparoscopic and laparotomy, are as follows.