三种开腹切口在幽门环肌切开术中的临床评价  

Clinical evaluation of different abdominal incisions in Ramsted′s pyloromyotomy

作　　者：龙伟[1] 吕会增[2] 黄韬[1] 李汉贤[1] 

机构地区：[1]南华大学附属第一医院三外科,湖南衡阳421001 [2]湖南省郴州市第一人民医院普通外科,湖南郴州423001

出　　处：《中国医学工程》2005年第6期631-632,636,共3页China Medical Engineering

摘　　要：目的临床评价不同手术入路切口在肥厚性幽门狭窄患儿中的应用效果。方法128例肥厚性幽门狭窄患儿分为三组,采用不同开腹切口行幽门环肌切开术。结果经脐部半环形切口组74例,经右上腹横切口组29例,切口全部I/甲愈合;经右上腹直肌纵切口组25例,切口并发症6例,其中2例开裂,行二次缝合。结论经脐部半环形切口行小儿幽门环肌切开术可收到简单、安全、美观、愈合佳的效果。[Objective] To analyze the effect of different abdominal incisions in Ramsted＇s pyloromyotomy. [Methods] 128 patients were of infant hypertriphic pyloric stenosis （IHPS） Patients were divided into three groups, which were operated in Ramsted＇s pyloromyotomy by different incision, [Results] 74 patients were operated through haft round incision of upper hulim line, 29 patients were operated through transverse incision from superior right abdomen, and all of the patients were no complication to be encountered; 25 patients were dissected through rectus abdominis, 6 patients from which were happened with incision complication including two patients sutured secondly, [Conclusion] Half round incision of upper hulim line for Ramsted＇s pyloromyotomy is safe, feasible, cosmetic and heal better,

关 键 词：肥厚性幽门狭窄 脐部半环形切口 幽门环肌切开术 

分 类 号：R65[医药卫生—外科学]