腹腔镜治疗小儿先天性消化道畸形临床分析  

Clinical analysis on laparoscopy in treatment of infantile congenital gastrointestinal tract anomalies

作　　者：赵晓波[1] 周薇莉[1] 戴建东[1] 徐渭贤[1] 苗家园[1] 

机构地区：[1]河北省唐山市妇幼保健院,063000

出　　处：《中国妇幼保健》2014年第18期3019-3021,共3页Maternal and Child Health Care of China

摘　　要：目的总结腹腔镜治疗小儿先天性消化道畸形的临床经验。方法：回顾性分析2001年3月～2013年6月应用腹腔镜技术治疗395例先天性消化道畸形患儿临床资料。结果：392例顺利完成手术，3例先天性肥厚性幽门狭窄患儿手术开展早期由于经验不足损伤幽门黏膜而中转开腹；2例美克尔憩室患儿术后早期出现炎性肠梗阻经保守治疗治愈，2例先天性巨结肠症患儿术后合并小肠结肠炎经抗炎、洗肠等保守治疗痊愈。随访截止发稿所有患儿生长发育良好，无呕吐、便血、便秘、污粪及粘连性肠梗阻等并发症发生。结论：腹腔镜治疗小儿先天性消化道畸形安全可行、效果良好、术后恢复快，具有良好的美容效果，值得开展。Objective To summarize the clinical experiences of laparoscopy in treatment of infantile congenital gastrointestinal tractanomalies. Methods： The clinical data of 395 children with congenital gastrointestinal tract anomalies treated with laparoscopic surgery fromMarch 2001 to June 2013 were retrospectively analyzed. Results： Laparoscopic surgery was completed in 392 children successfully, 3 caseswith congenital hypertrophic pyloric stenosis converted to open laparotomy because of mucosal perforation due to experienceless operation inthe initial stage, 2 cases with Meckel＇s diverticulum combined with early postoperative inflammatory intestinal obstruction were cured by con-servative treatment, 2 cases with Hirschsprung＇s disease combined with postoperative enterocolitis were cured by anti - inflammatory treatmentand intestinal lavage. No complications such as vomiting, hematochezia, constipation, soiling and adhesive intestinal obstruction were foundduring follow - up till today. Conclusion： Laparoscopy in treatment of infantile congenital gastrointestinal tract anomalies is safe and feasiblewith the advantages of quick recovery and satisfying cosmetic effect. It＇s worth routinely carrying out.

关 键 词：腹腔镜 小儿 先天性消化道畸形 

分 类 号：R725.6[医药卫生—儿科]