比较腹腔镜与开放手术在小儿巨脾症的应用  

Comparison of laparoscopic versus open splenectomy for Pediatric splenomegaly

作　　者：周承校 戚士芹 未德成 

机构地区：[1]安徽省儿童医院普外科,合肥230051

出　　处：《安徽卫生职业技术学院学报》2015年第3期31-32,34,共3页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:对比腹腔镜脾切除术(LS)和传统开放脾切除术(OS)治疗小儿巨脾的临床疗效,探讨腹腔镜切除小儿巨脾的可行性及安全性。方法:选取32例小儿巨脾的病例资料,根据手术方法不同,将其中16例LS组与16例OS组进行对比分析。结果:两组均实施巨脾切除术;两组相比,LS组手术时间长,术中出血量少,术后肛门排气早,术后住院时间短,副脾发现例数多;术后并发症发生率、长期随访率、有效率差异没有统计学意义(P>0.05)。结论:腹腔镜小儿巨脾切除术是一种安全、有效、可行的手术方法,能减少并发症,具有创伤小、恢复快、美容的临床疗效。Objective：Comparison of laparoscopic splenectomy （LS） and traditional open splenectomy （OS） was made in terms of the clinical curative effect of treatment of splenomegaly, to explore the feasibility and safety of laparoscopic resection of giant spleen. Methods：Totally 32 cases with Pediatric splenomegaly, according to different operative approaches,LS （n=16）and OS （n=16）were assigned and compared. Results： Both groups underwent splenectomy,comparing the two groups, the LS group had longer operation time, less intraoperative blood loss, postoperative anal exhaust early, postoperative hospitalization time is short, the accessory spleen was found more cases;the incidence of postoperative complications, and long-term follow-up rate, efficiency of the difference was not statistically significant. Conclusion：LS is feasible, efficacious and safe for Pediatric splenomegaly.It offers many advantages of mini-invasiveness,quick recovery, fewer postoperative complications and a higher discovery rate of accessory spleens over OS.

关 键 词：腹腔镜探查 儿童 巨脾 脾切除术 

分 类 号：R726.5[医药卫生—儿科]