Iudin Ia B, Gabinskaia T A, Bukhtiiarov A P
Khirurgiia (Mosk). 1990 Aug(8):28-31.
In the period between 1984 and 1988 laparoscopy was conducted 846 times in children with suspected acute appendicitis. In 301 children the diagnosis was confirmed in atypical forms of appendicitis. In 418 children laparoscopy revealed diseases which are recognized with great difficulties (mesadenitis, primary peritonitis, genital diseases, etc.), in which the final diagnosis is usually established during laparotomy. In 39 children laparoscopic diagnosis was conducted during intercurrent diseases in which the abdominal pain syndrome simulated the clinical picture of acute appendicitis. As the result of laparoscopic examination the number of operations for simple forms reduced from 38.3 to 6.2% and the timely diagnosis of acute appendicitis improved.
1984年至1988年期间，对疑似急性阑尾炎的儿童进行了846次腹腔镜检查。在301名儿童中，非典型阑尾炎的诊断得到证实。在418名儿童中，腹腔镜检查发现了极难诊断的疾病（肠系膜淋巴结炎、原发性腹膜炎、生殖系统疾病等），这些疾病的最终诊断通常在剖腹手术时才能确定。在39名患有并发疾病的儿童中进行了腹腔镜诊断，这些儿童的腹痛综合征模拟了急性阑尾炎的临床表现。腹腔镜检查的结果是，简单阑尾炎手术的数量从38.3%降至6.2%，急性阑尾炎的及时诊断率得到提高。
