小儿腹腔镜治疗先天性肥厚性幽门狭窄24例  

Report on Congenital Hypertrophic Pyloric Stenosis of 24 Cases Treated with Laparoscopic Method

作　　者：寿铁军[1] 李勇[1] 

机构地区：[1]宁波市妇女儿童医院外二科,浙江宁波315012

出　　处：《中国现代医生》2011年第18期251-252,共2页China Modern Doctor

摘　　要：目的总结腹腔镜下幽门环肌切开术治疗先天性肥厚性幽门狭窄的体会。方法 2008年6月～2010年6月期间我科应用腹腔镜下幽门环肌切开术治疗先天性肥厚性幽门狭窄24例,术后对手术时间、术后喂养情况、术后住院时间及并发症等情况均进行记录。结果 腹腔镜下完成全部手术,无中转开腹。手术时间17～125min,平均(47.96±25.11)min。术后约6h拔胃管,从喂糖水逐渐过度至喂奶。术后住院5～9d,平均(6.75±1.45)d出院。结论腹腔镜下幽门环肌切开术安全、创伤小、恢复快,切口愈合符合美观要求,值得开展。Objective To summarize the experience of laparoscopic pyloromyotomy in the treatment of congenital hypertrophic pyloric stenosis（CHPS）. Methods From June 2008 to June 2010,1aparoscopic pyloromyotomy was applied in 24 cases of CHPS. After operation, the duration of operation,postoperative feeding time,postoperative in-hospital time and surgical complications were recorded and analyzed. Results All the patients underwent laparoscopic pyloromyotomy,with no conversion to open operations. Duration of operation was from 17 to 125 min,the average was （47.96±25.11） min. The nasogastric tube was removed about 6 hours after the operation and oral feeding developed gradually from water to full milk. After the operation, from 5 to 9 days,the average was （6.75 ±1.45） days,the patients were discharged. Conclusion Laparoscopic pyloromyotomy has characteristics of safety,minimal invasion and rapid recovery. What＇s more,it has satisfying cosmetic effect. It＇s worth routinely carrying out.

关 键 词：幽门狭窄 肥厚性 腹腔镜 

分 类 号：R656.63[医药卫生—外科学]