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经腹腔镜治疗小儿难复性急性肠套叠12例 被引量:14

The treatment of intricate acute intussusception of child with laparoscope:A report of 12 cases
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摘要 目的探讨腹腔镜治疗小儿肠套叠的应用价值。方法 2007年1月至2009年10月采用腹腔镜手术治疗小儿急性肠套叠12例。手术采用两种方法:①腹腔镜肠套叠复位术;②腹腔镜辅助下空气灌肠肠套叠整复术。并与既往传统开腹手术术后各项指标进行对照。结果 12例肠套叠全部复位,1例腹腔镜探查发现M eckel憩室而行开腹手术。与开腹手术相比,各项指标均较传统开腹手术优。结论腹腔镜下小儿急性肠套叠复位术是一种安全、有效的微创诊疗方法。与传统手术相比有较大的优势。但要严格掌握手术的适应证及禁忌证。 Objective To evaluate the effects of laparoscopic assisted reduction of intussusception. Methods The clinical data of 12 cases of intussusception between Jan. 2007 to Oct. 2009 were analyzed retrospectively,and compared with those of 12 cases of intussusception subject to open operation. Results The laparoscopic-assisted reduction of intussusception was successfully performed on all cases and all patients recovered without complications. One case was converted to open operation be- cause of Meckel diverticulum. Compared with the traditional opefl surgery, the laparoscopic-assisted re duction of intussusception had many advanlages. Conclusion The laparoscopic-assisted reduction of intussusception is safe and less traumatic. This surgery is recommended for the children with intussusception.
出处 《腹部外科》 2010年第3期171-172,共2页 Journal of Abdominal Surgery
关键词 肠套叠 腹腔镜 儿童 Intussusception I.aparoscopes Child
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