摘要
目的:探讨经脐腹腔镜手术治疗小儿幽门狭窄的临床疗效。方法:回顾分析2014年10月至2018年10月收治的112例先天性肥厚性幽门狭窄患儿的临床资料,根据手术方式分为经脐腹腔镜组(n=54)与开腹组(n=58),比较两组临床疗效。结果:两组均有1例术后复发;开腹组2例发生切口愈合不良,其中1例切口裂开,两组并发症发生率差异无统计学意义(P=0.219);经脐腹腔镜组手术时间、术后排气时间、术中出血量、住院时间、疤痕评分优于开腹组,差异有统计学意义(P<0.001)。结论:经脐腹腔镜幽门环肌切开术疗效确切,手术时间短,术后康复快,住院时间短,手术瘢痕隐蔽,美容效果好,值得临床推广。
Objective:To investigate the clinical effect of transumbilical laparoscopy in the treatment of pyloric stenosis in children.Methods:The clinical data of 112 children with congenital hypertrophic pyloric stenosis treated from Oct.2014 to Oct.2018 were retrospectively analyzed.According to the different operation methods,they were divided into transumbilical laparoscopic group(n=54)and laparotomy group(n=58).The clinical effects of the two groups were compared.Results:There was 1 case of postoperative recurrence in both groups.In the laparotomy group,poor wound healing occurred in 2 cases,of which 1 case had incision rupture.There was no significant difference in the incidence of complications between the two groups(P=0.219).Operative time,postoperative exhaust time,intraoperative bleeding loss,postoperative hospital stay,scar score were all statistically different in favor of transumbilical laparoscopic group(P<0.001).Conclusions:Transumbilical laparoscopic pyloromyotomy has the advantages of definite efficacy,short operative time,rapid postoperative recovery,short hospital stay,satisfactory scar concealment and cosmetic effect,this procedure is worthy of clinical promotion.
作者
李康
李立帜
LI Kang;LI Li-zhi(Department of Pediatric Surgery,Fujian Fuzhou Children's Hospital,Fuzhou 350001,China;Fujian Provincial Medical School of Fujian Medical University,Fujian Provincial Hospital)
出处
《腹腔镜外科杂志》
2019年第11期838-840,共3页
Journal of Laparoscopic Surgery
基金
福建省卫生厅中青年骨干人才基金(2016-ZQN-12)(201107516)
