小儿肠套叠腹腔镜复位与传统开腹复位的临床疗效比较  

Comparison of clinical efficacies between laparoscopic and traditional open reduction for pediatric intussuception

作　　者：彭永辉[1] 林伟斌[1] 聂向阳[1] 何永忠[1] 龚独辉[1] 

机构地区：[1]南方医科大学附属何贤纪念医院胃肠外科,广州511400

出　　处：《岭南现代临床外科》2012年第4期341-343,共3页Lingnan Modern Clinics in Surgery

摘　　要：目的比较小儿肠套叠需手术复位时腹腔镜手术与传统开腹手术的临床疗效。方法回顾性分析我院2007年1月至2010年1月小儿肠套叠经空气灌肠失败需手术复位病例40例,其中选择腹腔镜组与传统开腹组各20例,在手术时间、术中出血量、手术并发症、胃肠功能恢复时间、住院时间、住院费用及复发率等方面进行比较。结果腹腔镜手术与开腹手术均无死亡病例,腹腔镜组在住院时间、胃肠功能恢复时间较开腹组明显减少(P<0.05),而住院费用方面则明显增加(P<0.05),有统计学意义。手术时间、术中出血量、复发率、并发症等方面无差异(P>0.05)。结论肠套叠腹腔镜复位与传统开腹复位一样安全、有效,腹腔镜组较传统开腹组具有创伤少、恢复快等优点,但住院费用相对较高。Objective To investigate the effect of laparoscopic reduction for treatment of intussusception in children. Methods Forty children with intussusceptions were selected from those of failure to air enema,and all of 40 cases were received surgical procedure including laparoscopie reduction （n=20） and open surgical reduction （n=20） from January 2007 to January 2010. The operation time, blood loss during operation, complications, intestinal function recovery, hospital stay, cost and recurrence were compared between two surgical procedures. Results The average time of intestinal function recovery, hospital stay in laparoseopic group were significantly lower than those in open surgical group （P〈0.05）. No differences were found between two groups in operation time, blood loss, complications and recurrence. Conclusions Laparoscopic reduction of intussusception is safe and effective as open technique, which shows less injury and quick recovery but higher cost.

关 键 词：小儿肠套叠 腹腔镜复位 开腹复位 

分 类 号：R656.7[医药卫生—外科学]