婴儿先天性肥厚性幽门狭窄的腹腔镜手术治疗体会  

Treatment experience of laparoscopic surgery for infants with congenital hypertrophic pyloric stenosis

作　　者：阿布都赛米.阿布都热依木 玉苏甫[1] 李凯[1] 刘东[1] 和军[1] 阿孜古丽[1] 周玲[1] 李水学[1] 克力木[1] 

机构地区：[1]新疆维吾尔自治区人民医院,新疆乌鲁木齐830001

出　　处：《腹腔镜外科杂志》2015年第2期116-118,共3页Journal of Laparoscopic Surgery

摘　　要：目的：探讨新生儿及婴儿先天性幽门肥厚性狭窄的腹腔镜治疗价值及临床效果,以促进患儿营养情况的早日恢复,保证患儿正常发育。方法：回顾分析2010年1月至2014年3月为18例具有典型呕吐病史的患儿在全麻下行腹腔镜幽门肌切开术的临床资料,术前患儿均经B超及上消化道造影确诊。结果：18例均成功完成腹腔镜手术,手术时间25~50 min;术中无出血,术后当天拔除胃管,术后第1天上午开始喂水,术后无出血、胃瘘等并发症发生,术后3~4 d出院。其中13例术后随访1~6个月,营养情况完全恢复,生长发育均恢复正常。结论：腹腔镜幽门肌切开术具有创伤小、术后并发症少、康复快、治愈率高的优点,治疗新生儿、婴儿先天性肥厚性幽门狭窄安全、有效,值得推广应用。Objective：To explore the value and effect of laparoscopic treatment in newborns and infants with congenital hypertrophic pyloric stenosis,consequently promote the early resumption of nutrition and ensure the normal development of children. Methods：During Jan. 2010 and Mar. 2014,18 children with typical history of vomiting were diagnosed by B-ultrasound and upper gastrointestinal contrast,and treated by laparoscopic pyloromyotomy under general anesthesia. Their clinical data were retrospectively analyzed. Results：All 18 cases were operated successfully via laparoscopy. The operative time was 25-50 min. No intraoperative bleeding occurred,the stomach tube was removed on the day of surgery,feeding began in the morning of the first day after surgery. No complications happened such as hemorrhage or gastric fistula. All cases were discharged in 3-4 d after surgery. 13 cases were followed up for 1 to6 months,their nutrition situation completely restored,growth and development returned to normal. Conclusions：Laparoscopic pyloromyotomy has advantages of minimal invasion,few postoperative complications,quick recovery and high curative ratio,is safe and effective in the treatment of newborns and infants with congenital hypertrophic pyloric stenosis. This procedure is worthy to be popularized.

关 键 词：幽门狭窄 肥厚性 腹腔镜检查 婴儿 

分 类 号：R726.5[医药卫生—儿科]