4例腹腔镜幽门肌切开术后再手术病因分析  

Etiological Analysis on 4 Cases of Laparoscopic Pyloromyotomy Reoperation

作　　者：宋再 汤悦 沈淳 董岿然 Song Zai;Tang Yue;Shen Chun;Dong Kuiran(Department of General Surgery, Children's Hospital of Fudan University, Shanghai 201102, China)

机构地区：[1]复旦大学附属儿科医院普外科

出　　处：《大理大学学报》2019年第8期6-8,共3页Journal of Dali University

摘　　要：目的:通过对术后并发症分析,探讨腹腔镜幽门肌切开术对先天性肥厚性幽门狭窄(CHPS)治疗的有效性、安全性。方法:对复旦大学附属儿童医院行腹腔镜幽门肌切开术治疗CHPS后需要再次手术患儿临床资料进行分析。结果:4例再手术病例中,1例患儿术后12h因气腹行开放手术,3例患儿因幽门肌分离不全再次手术,总体再次手术率为1.52%(4/264)。结论:腹腔镜幽门手术安全可靠,可以获得较好的治疗效果,再次手术主要原因是幽门肌分离不全和十二指肠穿孔。Objective:To investigate the efficacy and safety of laparoscopic pyloromyotomy in the treatment of congenital hypertrophic pyloric stenosis (CHPS) by analyzing the postoperative complications. Methods:The clinical data of infants with CHPS required reoperation after laparoscopic pyloromyotomy in Children's Hospital of Fudan Uinversity were analyzed. Results:Among the 4 cases of reoperation, 1 case received reoperation 12 h after the operation due to pneumoperitoneum, 3 cases underwent reoperation due to incomplete pylorus muscle separation. The overall reoperation rate was 1.52%(4/264). Conclusion:Laparoscopic pyloromyotomy is safe and reliable, and can obtain better therapeutic effect. The main cause of reoperation after surgery is incomplete pylorus muscle separation and duodenal perforation.

关 键 词：幽门肥厚性狭窄 腹腔镜 幽门环肌切开术 

分 类 号：R726[医药卫生—儿科]