腹腔镜手术治疗新生儿先天性肥厚性幽门狭窄的安全性与有效性  

Research on the Laparoscopic Surgery for Congenital Hypertrophic Pyloric Stenosis Safety and Efficacy

作　　者：蒋文军[1] 徐冰[1] 

机构地区：[1]四川省人民医院儿外科,四川成都610072

出　　处：《医学临床研究》2016年第1期80-82,共3页Journal of Clinical Research

摘　　要：【目的】探讨腹腔镜手术治疗新生儿先天性肥厚性幽门狭窄的安全性及有效性。【方法】根据手术方式的不同将88例先天性肥厚性幽门狭窄新生儿分为腹腔镜手术的观察组和开腹手术的对照组，每组各44例，比较两组患儿的治疗效果及并发症情况。【结果】两组患儿的手术时间、术后进全奶时间、住院费用以及并发症发生率和术后呕吐发生率比较，差异均无统计学意义（P〉0．05）。观察组患儿的住院时间及切口瘢痕长度均显著短于对照组，差异具有统计学意义（P〈0．05）。【结论】腹腔镜手术治疗新生儿先天性肥厚性幽门狭窄，不仅能获得与开腹手术相当的疗效，还具有切口小、机体损伤轻、术后恢复快等优点。[Objective]To investigate the laparoscopic surgery for congenital hypertrophic pyloric stenosls safety and efficacy. [Methods]Eighty-eight cases of newborns with congenital hypertrophic pyloric stenosis were divided into observation group （laparoscopic surgery） and control group （open surgery） according to different surgical procedures, with 44 cases in each group. The two groups therapeutic effect and complications were compared .[Results]The operative time, eating whole milk after postoperative time, hospital costs, postoperative complication rate and the incidence of vomiting between the two groups showed no significant difference （ P〉0.05）. Hospitalization time and incisional scar length of observation group were significantly shorter than those of the control group, P〈0.05. [Conclusion] Laparoseopic surgery treatment of CHPS not only yields the same effect as laparotomy, it also has some advantages like small incision, light body injury and quick recovery.

关 键 词：腹腔镜检查 幽门狭窄 肥厚性/外科学 幽门狭窄 肥厚性/先天性 婴儿 新生 

分 类 号：R726.566.3[医药卫生—儿科]