Abstract：Objective To investigate clinical features of intestinal obstruction after laparoscopic appendectomy in children. Methods Clinical data of 1571 cases of laparoscopic appendectomy in Beijing Children’s Hospital, Capital Medical University from August 2013 to February 2019 were retrospectively analyzed. The children were divided into perforated group and non perforated group according to whether the appendix was perforated or not. The incidence of postoperative intestinal obstruction was compared between two groups. According to the age, the children were divided into infant group, preschool group, school-age group and adolescent group. The incidence of intestinal obstruction in different age groups was compared. Results There was significant difference in the incidence of postoperative intestinal obstruction between perforated group and non perforated group (P < 0.05). The incidence of postoperative intestinal obstruction in different age groups was significantly different (P < 0.05). The incidence of postoperative intestinal obstruction in adolescent group was lower than that in infant group (P < 0.05). The incidences of postoperative intestinal obstruction in school-age group and adolescent group were lower than those in preschool group (P < 0.05). Conclusion Improving the early diagnosis rate of appendicitis in children, especially the diagnosis of appendicitis in pre-school age children, timely operation intervention before appendix perforation can reduce the incidence of postoperative intestinal obstruction.
陈龙 李现令 刘婷婷. 儿童腹腔镜阑尾切除术后肠梗阻的临床特点[J]. 中国医药导报, 2020, 17(35): 96-98,103.
CHEN Long LI Xianling LIU Tingting. Clinical features of intestinal obstruction after laparoscopic appendectomy in children. 中国医药导报, 2020, 17(35): 96-98,103.
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