先天性肥厚性幽门狭窄手术方式研究进展  

Research advances in the surgical approach of congenital hypertrophic pyloric stenosis

作　　者：蔡本龙(综述) 张又祥(审校)[1] 

机构地区：[1]广州医科大学附属广州市第一人民医院儿科,510180

出　　处：《国际儿科学杂志》2016年第3期201-203,共3页International Journal of Pediatrics

摘　　要：先天性肥厚性幽门狭窄是新生儿和小婴儿常见的消化道先天畸形，幽门肌切开术是其最有效的治疗方法，包括几种术式：经典的开腹下幽门肌切开术对患儿的机体损伤较严重，有麻醉意外、术后感染、皮肤疤痕等风险；经腹腔镜下幽门肌切开术易引起幽门肌切开不全、侵人性操作损伤等弊端，经胃镜下幽门肌切开术对新生儿损伤小、没有手术疤痕、操作简单、手术并发症少、术后喂养恢复快，经IZl内镜行黏膜下幽门肌切开术为一种新术式，需要进一步研究。Congenital hypertrophic pyloric stenosis （CHPS） is a common gastrointestinal congenital mal- formation in neonate and small infants. Pyloromyotomy is an effective method for treatment of CHPS, including several methods. Traditional open pyloromyotomy for the patient＇s body injury is serious, such as accident of anesthesia,postoperative infection, skin scar; laparoscopic pyloromyotomy can cause the pylorus muscle incision uncomplete,invasive operation damage, etc. Endoscopic pyloromyotomy for neonatal has some advantages：a little injury, no scars, simple operation,less complications, quicker recovery of feeding. Endoscopic mucosal pyloromvotomv mav be a new method of treatment, needing further exploration and research.

关 键 词：先天性肥厚性幽门狭窄 幽门肌切开术 治疗 

分 类 号：R726.566.3[医药卫生—儿科]