实用临床医药杂志2024，Vol.28Issue(23)：96-99,4.DOI:10.7619/jcmp.20242820
内镜下逆行阑尾炎治疗对儿童急性阑尾炎的效果与安全性分析
Efficacy and safety of endoscopic retrograde appendicitis therapy for pediatric acute appendicitis
摘要
Abstract
Objective To explore the efficacy and safety of endoscopic retrograde appendicitis therapy(ERAT)for pediatric acute appendicitis.Methods Thirty-five pediatric patients with acute simple appendicitis admitted between June 2021 and November 2023 were selected as study subjects.Relevant perioperative data including clinical manifestations,diagnostic and therapeutic processes,as well as treatment and follow-up outcomes were collected.Results All 35 patients successfully under-went ERAT with an operation time ranging from 24 to 75 min.Intubation of the appendiceal lumen was successful in all patients,with pus flushed out or stones removed.After contrast administration and flushing,16 patients were found to have pus only in the appendiceal lumen with no appendicoliths,while 19 patients had both pus and visible appendicoliths with diameters ranging from 2 to 5 mm.Of 19 patients,17 appendicoliths were loose and 2 were well-formed.Abdominal pain symptoms were al-leviated within a short period,with the average VAS score decreasing from 6.6 preoperatively to 1.7 at 3 hours postoperatively and to 0.2 at 24 hours post operatively.There was a statistically significant difference in Visual Analogue Scale(VAS)scores before and after surgery(P＜0.05).During follow-up ranging from 3 to 11 months postoperatively,appendicitis recurred in one patient one week after ERAT,while no surgery-related complications occurred in the other patients during follow-up.Conclu-sion ERAT is a safe and effective endoscopic treatment for pediatric acute appendicitis,with advantages including reduced trauma and shorter recovery time.It is particularly suitable for pediatric patients with acute simple appendicitis complicated by appendicoliths,appendiceal lumen stenosis,or intra-appendiceal abscesses.关键词
急性阑尾炎/内镜下逆行阑尾造影/内镜下逆行阑尾炎治疗/内镜治疗Key words
acute appendicitis/endoscopic retrograde appendiceal contrastography/endo-scopic retrograde appendicitis therapy/endoscopic treatment分类
医药卫生引用本文复制引用
王远志,刘振勇,吴健,李贵庆,姚光怀,肖炜明,丁岩冰..内镜下逆行阑尾炎治疗对儿童急性阑尾炎的效果与安全性分析[J].实用临床医药杂志,2024,28(23):96-99,4.基金项目
国家自然科学基金资助项目(82273084) （82273084）
江苏省扬州市医学重点学科培育项目(YZYXZDXK-12) （YZYXZDXK-12）
