两孔法腹腔镜治疗先天性肥厚性幽门狭窄80例  

Two-trocar Laparoscope Therapy of Congenital Hypertrophic Pyloric Stenosis in 80 Cases

作　　者：陈兰萍[1] 任红霞[1] 陈淑芸[1] 韩湘珍[1] 孟庆明[1] 王计文[1] 靳文[1] 张旭辉[1] 孟德斌[1] 

机构地区：[1]山西省儿童医院外科,山西太原030013

出　　处：《临床小儿外科杂志》2006年第4期241-243,共3页Journal of Clinical Pediatric Surgery

摘　　要：目的探讨两孔法腹腔镜治疗先天性肥厚性幽门狭窄(CHPS)的手术可行性,总结操作要点。方法回顾性分析我院采用两孔法腹腔镜治疗的80例CHPS患儿临床资料,并与三孔法及开腹手术对照。操作方法:于脐环下缘置5mmTrocar,放入腔镜,于右侧肋缘下锁骨中线处作3mm戳孔,放入微型电钩及幽门钳进行操作。结果80例患儿中2例改用三孔法完成,2例中转开腹,其余76例均两孔法完成手术。手术时间、出血量、住院天数等指标与三孔法比较,差异无统计学意义,腹腔镜术后呕吐情况减少。结论二孔法腹腔镜是微创治疗先天性肥厚性幽门狭窄的一种行之有效的方法,可推广使用。Objective To explore the feasibility and keys of technique of the two-trocar laparoscope in the microtrauma therapy of congenital hypertrophic pyloric stenosis in infants.Method 80 children with congenital hypertrophic pyloric stenosis underwent two-trocar laparoscope pyloromyotomy.The procedure was performed using two trocars：5mm diameter trocar was placed at the infraumbilical ring and 3mm diameter was placed in the right lower quadrants.Results 80 operations succeeded apart from two children changed for three-trocar laparoscope paloromyotomy and two children changed for open conversions . There was no significant difference in the mean operative time and postoperative hospital stay between the two-troca and three-trocar laparocope an effective method in the treatment of congenital pyloromyotomy.Conclusion Two-trocar laparoscope is hypertrophic pyloric stenosis in infants.

关 键 词：幽门狭窄/先天性 幽门狭窄/外科学 外科手术 腹腔镜 

分 类 号：R726.566[医药卫生—儿科]