摘要
目的通过探讨腹腔镜治疗小儿食道裂孔疝的优缺点、小儿食道裂孔疝手术时机的把握以及腹腔镜手术安全性等问题,为临床广泛推广应用腹腔镜治疗小儿食管裂孔疝提供一定的帮助。方法回顾性分析2012年10月~2016年12月4个小儿外科诊疗中心(新疆维吾尔自治区人民医院小儿外科、首都儿科研究所小儿外科、华中科技大学同济医学院附属协和医院小儿外科、河北医科大学附属第二医院小儿外科)收治的55例经腹腔腹腔镜手术治疗的食管裂孔疝患者的病历资料;分析经腹腔腹腔镜治疗小儿食管裂孔疝的手术指针、手术要点以及手术安全性。结果 55例食道裂孔疝患儿腹腔镜下手术一次成功54例,一例术后2月复查发现食管裂孔疝复发,再次行经腹腔腹腔镜下食管裂孔疝补片修补+疝囊切除术,术后随访半年未再次复发。经腹腔腹腔镜手术时间为120~180 min,术中均无明显的失血;术后24~48 h进食流质饮食;不切除疝囊的患儿,疝囊较大者术后复查胸片可见胸部局部有阴影,疝囊小者无明显阴影。结论小儿食管裂孔疝经腹腔腹腔镜手术治疗可以在有腹腔镜操作经验的小儿外科专科医师中进一步推广应用。
Objective grasp the laparoscopic treatment of children with esophageal hiatal hernia in children,the advantages and disadvantages of hiatal hernia surgery hole and laparoscopic operation safety problems through to provide some help for clinical application of laparoscopic treatment of esophageal hiatal hernia in children. Methods a retrospective analysis from October 2012 to December 2016,4 of pediatric surgery treatment center（ the Xinjiang Uygur Autonomous Region people＇ s Hospital pediatric surgery,Department of pediatric surgery,Tongji Medical College of Huazhong University of Science and Technology,Hebei Medical University Affiliated Hospital pediatric surgery Affiliated Hospital of second medical records of pediatric surgery） 55 cases were treated by laparoscopic surgery in the treatment of esophageal hiatal hernia patients were analyzed; laparoscopic treatment of pediatric esophageal hiatal hernia surgery,surgical techniques and pointer operation safety. Results 55 cases of esophageal hiatal hernia,54 cases were successfully operated under laparoscope. One case of esophageal hiatal hernia recurred after operation onFebruary. Third,laparoscopic repair of hiatal hernia hernia repair and hernia sac resection,followed up for six months,no recurrence. By the time of laparoscopic surgery for abdominal surgery in 120 - 180 min,there were no obvious bleeding; after 24 - 48 h eating liquid diet; not removed hernia with hernia sac larger postoperative chest X-ray showed local chest shadow,no shadow small hernia sac. Conclusion Laparoscopic surgery for children with hiatal hernia can be widely applied in pediatric surgery sespecially for those who has the experience of laparoscopic surgery laparoscopic surgery.
出处
《中华胃食管反流病电子杂志》
2017年第1期23-26,共4页
Chinese Journal Of Gastroesophageal Reflux Disease(Electronic Edition)
基金
基金项目:小儿腔镜诊断治疗先天性畸形技术规范
标准及新技术评价研究(201402007)~~
