腹腔镜与经右上腹小切口幽门环肌切开术治疗先天性肥厚性幽门狭窄疗效比较  

Comparative study between laparoscopic pyloromyotomy and open right upper quadrant small incision pyloromyotomy for the treatment of congenital hypertrophic pyloric stenosis

作　　者：张大坤[1] 赵永轩[1] 谢静[1] 潘景娥[1] 付晓君[1] ZHANG Da-kun;ZHAO Yong-xuan;XIE Jing;PAN Jing-e;FU Xiao-jun(Department of General Surgery,The First Affiliated Hospital of Bengbu Medical College,Bengbu Anhui 233004,China)

机构地区：[1]蚌埠医学院第一附属医院普外科,安徽蚌埠233004

出　　处：《蚌埠医学院学报》2018年第11期1434-1436,共3页Journal of Bengbu Medical College

摘　　要：目的:探讨小儿腹腔镜下幽门环肌切开术(LP)与经右上腹小切口幽门环肌切开术(OP)在治疗先天性肥厚性幽门狭窄中的疗效及优缺点。方法:85例病人中LP组35例,OP组50例,比较2组病人术中、术后及相关并发症的情况。结果:LP组手术时间、术中出血和住院时间上均明显低于OP组(P <0. 01),2组伤口延迟愈合差异无统计学意义(P> 0. 05)。结论:LP治疗先天性肥厚性幽门狭窄切口小、损伤小、出血少、康复快,手术时间及住院时间明显缩短,安全、有效,并发症少,值得临床推广。Objective： To research the efficacy and advantage of laparoscopic pyloromyotomy（ LP） and open right upper quadrant small incision pyloromyotomy（ OP） for the treatment of congenital hypertrophic pyloric stenosis. Methods： Eighty-five patients with congenital hypertrophic pyloric stenosis were divided into LP group（ 35 cases） and OP group（ 50 cases）. The perioperative,postoperative,and related complications between two groups were compared. Results： The operation time,blood loss during operation and hospitalization time in LP group were obviously lower than those in OP group（ P〈0. 01）. The difference of delayed wound healing in two groups was not statistically significant（ P〉0. 05）. Conclusions： LP is safe,effective and feasible for hypertrophic pyloric stenosis with mini-invasion,little injury,little blood loss,quick recovery,short operation time and hospitalization time,which is worthy of clinical promotion.

关 键 词：腹腔镜术 先天性肥厚性幽门狭窄 幽门环肌切开术 

分 类 号：R572[医药卫生—消化系统]