经脐两孔法与传统两孔法腹腔镜下幽门环肌切开术的对照研究  

Effect of transumbilical double-port and traditional double-port pyloromyotomy under laparoscopic

作　　者：卢朝祥 苗峰[1] 李中文[1] 王琪[1] 

机构地区：[1]西安市儿童医院新生儿外科,陕西西安710003

出　　处：《临床医学研究与实践》2018年第3期62-64,共3页Clinical Research and Practice

摘　　要：目的探讨经脐两孔法与传统两孔腹腔镜下幽门环肌切开术的临床效果。方法回顾性分析我院2013年1月至2017年1月的收治的109例先天性肥厚性幽门狭窄患儿的临床资料,根据手术方式不同分为单部位组(52例)和传统组(57例),比较两组患儿的临床效果。结果所有患儿均顺利完成手术,单部位组1例患儿幽门呈勾形走向无法完全暴露,为避免切开不全,增加一个Trocar完成手术;传统组1例患儿出现切口感染;两组患儿的手术时间、术中出血量、住院时间、并发症等方面无明显差异(P>0.05);术后随访3月,单部位组患儿的瘢痕评分高于传统组(P<0.05)。结论经脐部单部位只需经脐两孔即可完成腹腔镜下幽门环肌切开术,同时比传统两孔法手术瘢痕隐蔽性更好,美容效果更好,值得推广。Objective To discuss the clinical effects of transumbilical double-port and traditional double-port pyloromyotomy under laparoscopic. Methods The clinical data of 109 cases of congenital hypertrophic pyloric stenosis admitted in our hospital from January 2013 to January 2017 were retrospectively analyzed, and were divided into single group（52 cas-es） and traditional group（57 cases） according to different surgical methods. The clinical effects of two groups were com-pared. Results All children successfully completed the operation, 1 case in the single group with pyloric hook was not fully exposed, in order to avoid incomplete incision, a Trocar surgery was added and completed the surgey; 1 case in the tradi-tional group ocurred incision infection; the operation time, intraoperative blood loss, hospitalization time and complications of the two groups had no significant difference（P〉0.05）; after 3 months of follow-up, the score of scars in the single group was higher than that in the traditional group（P〈0.05）. Conclusion Transumbilical double-port can complete the pyloromyotomy under laparoscopic with double-port, and which can get better surgical scars concealment and beauty effects than the traditional double-port, which is worthy of application.

关 键 词：幽门肥厚性狭窄 腹腔镜 脐部 幽门环肌切开术 

分 类 号：R726.5[医药卫生—儿科]