经脐部正中横切口治疗先天性肥厚性幽门狭窄  

Clinical analysis of umbilical incision treatment for congenital hypertrophic pyloric stenosis

作　　者：刘忠理[1] 王飞[1] 

机构地区：[1]长治市妇幼保健院小儿外科,山西省长治046011

出　　处：《中国基层医药》2015年第17期2635-2637,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的：比较经脐部正中横切口与传统经右上腹横切口治疗先天性肥厚性幽门狭窄的疗效。方法将先天性肥厚性幽门狭窄患儿38例，按照数字表法随机分为两组，研究组19例采用经脐部横切口，对照组19例采用经右上腹横切口，比较两种手术方法的疗效。结果研究组手术时间为（20．40±1．47）min，切口愈合时间为（5．53±0．51）d，均优于对照组的（24．00±1．36）min、（7．26±0．45）d（t＝7．835、11．090，均P＜0．05）；研究组切口瘢痕长度为（0．53±0．01）cm，明显短于对照组的（2．03±0．12）cm（t＝54．070，P＜0．05）；研究组进食时间、住院时间[（23．84±0．96）h、（9．37±0．83）d）]与对照组[（24．11±0．81）h、（9．42±0．84）d]差异均无统计学意义（t＝0．936、0．184，均P＞0．05）。术后随访6～8个月，对照组腹部可见明显手术切口瘢痕，而研究组无明显切口瘢痕，患儿均生长发育良好。结论经脐部横切口治疗先天性肥厚性幽门狭窄不延长手术时间，术后恢复快，患儿家长满意度高，适合于无条件开展腹腔镜手术的基层医院。Objective To explore the clinical value via comparison of umbilical incision and traditional right upper quadrant abdominal transverse incision of congenital hypertrophic pyloric stenosis.Methods According to the digital table,38 children with congenital hypertrophic pyloric stenosis were divided into two groups,the study group （n=19）was given umbilical transverse incision,the control group（n=19）was given right upper quadrant abdominal transverse incision.The effect of the two groups were compared.Results In the study group,the operate time was （20.4 ±1.47）min,incision scar healing time was （5.53 ±0.51）d,which were significantly lower than （24.00 ± 1.36）min and （7.26 ±0.45）d of the control group（t=7.835,11.090,all P〈0.05）.The length of incision scar [（0.53 ±0.015）cm]was obvious shorter than that of the control group[（2.03 ±0.12）cm]（t=54.070,P〈0.05）. The postoperative eating time[（23.84 ±0.96）h]and hospitalization time[（9.37 ±0.83）d]of the study group had no difference with the control group of[（24.11 ±0.81）h and （9.42 ±0.84）d]（t=0.936,0.184,all P〉0.05）. Followed up for 6-8 months,all children had good growth and development,but abdominal scar was obvious in the control group,and the study group had no obvious scar.Conclusion Umbilical incision for the treatment of congenital hypertrophic pyloric stenosis does not prolong the operation time,and has rapid postoperative recovery and better beau-ty effective than the traditional operation,.It is suitable for primary hospitals with no condition to carry out laparoscop-ic operation.

关 键 词：幽门狭窄 肥厚性 外科手术 瘢痕 

分 类 号：R726.5[医药卫生—儿科]