摘要
目的：探讨腹腔镜诊断和治疗儿童下消化道出血的临床价值。方法：对13例术前不明原因下消化道出血患儿行腹腔镜探查，12例确诊后11例经脐部延伸小切口，提出肠管在腹外手术；1例免于手术；1例病因不明。结果：11例患儿均未中转手术，手术时间40～90min，平均75min。术后5～10出院，无任何并发症发生，结论：腹腔镜术具有创伤小、安全可靠、诊断率高等优点，适用于不明原因的儿童下消化道出血病例.
Objective：To explore the value of laparoscopie diagnosis and treatment for lower digestive tract hemorrhage in children. Methods：Laparoscopic exploration was performed for 13 children with uncertainty of lower digestive tract hemorrhage. 12 patients were correctly diagnosed by laparoscopy. Among them, the umbilical incision was prolonged and the corresponding intestine was taken out for resection in 11 cases, and 1 case did not need operation. The etiology, of 1 ease was unknown. Results ： No conversions to laparot- omy were required in all of the 11 childrell. The openation time lasted 40-90min （mean 75min）. The children were discharged at 5-10 postoperative days without any complications. Conclusions： Laparoscopic diagnosis and treatment have many advantages such as decreased injury, safety, higher rate of diagnosis which may be effective in children with uncertainty of lower digestive tract hemorrhage.
出处
《腹腔镜外科杂志》
2007年第6期483-484,共2页
Journal of Laparoscopic Surgery
关键词
腹腔镜术
儿童
消化道
出血
Laparoscopy
Children
Digestive tract
Hemorrhage
