腹腔镜手术治疗小儿贲门失弛缓症效果分析  

Laparoscopic surgery for cardia achalasia in children

作　　者：周玲[1,2] 刘妍芳 李凯[1,2] 和军 李龙[3] 颜景灏 李水学[1] Zhou Ling;Liu Yanfang;Li Kai;He Jun;Li Long;Yan Jinghao;Li Shuixue(Department of Pediatric Surgery, People's Hospita of Xinjiang Uygur Autonomous Region, Urumuqi 830000, China;Department of Pediatric Surgery, Xinjiang Uygur Autonomous Region Children's Hospital, Urumuqi 830000, China;Department of Pediatrics surgery, Capital institute of pediatric, Beijing 100020, China)

机构地区：[1]新疆维吾尔自治区人民医院小儿外科,乌鲁木齐830000 [2]新疆维吾尔自治区儿童医院小儿外科,乌鲁木齐830000 [3]首都儿科研究所附属儿童医院小儿外科,北京100020

出　　处：《中华胃食管反流病电子杂志》2019年第2期66-69,共4页Chinese Journal Of Gastroesophageal Reflux Disease(Electronic Edition)

基　　金：小儿腔镜诊断治疗先天性畸形技术规范标准及新技术评价研究(201402007)

摘　　要：目的探讨腹腔镜治疗小儿贲门失弛缓症的优点及安全性。方法回顾性分析2008年12月至2018年12月,新疆维吾尔自治区人民医院小儿外科、新疆维吾尔自治区儿童医院小儿外科,首都儿科研究所附属儿童医院小儿外科在腹腔镜下行Heller+胃底折叠术28例贲门失弛缓症患儿的临床资料,对患儿诊治过程,手术方式、手术安全性、术中术后并发症进行总结分析。结果患有贲门失弛缓症的患儿接受腹腔镜治疗的手术平均时间为(85.0±3.5)min,术中平均出血量为(8.0±1.3)ml;术后观察1周,术中黏膜破裂修补后发生漏患儿1例,留置胃管1个月后自愈;余27例患儿进食普食后未见有吞咽困难,未见有呕吐的情况。术后随访1年,未见有复发,营养得到改善,生活质量提高,患儿家属满意。结论腹腔镜在治疗小儿贲门失弛缓症应用中损伤小,并发症少,术后恢复好,安全,具有应用价值。Objective To investigate the advantages and safety of laparoscopic treatment of children with cardia achalasia. Methods A retrospective analysis of 28 patients with achalasia who were admitted to our group(Xinjiang Uygur Autonomous Region People’s Hospital Pediatric Surgery, Xinjiang Uygur Autonomous Children’s Hospital Pediatric Surgery, Capital Pediatrics Institute Children’s Hospital Pediatric Surgery) from December 2008 to December 2018. All patients successfully underwent laparoscopic Heller+ fundoplication. Summarize the diagnosis and treatment process of children, surgical methods, surgical safety, and postoperative complications. Results The average time for laparoscopic surgery in children with achalasia was(85.0±3.5) minutes. The average intraoperative blood loss was(8.0±1.3) ml. After one week of observation, one case had a leakage after intraoperative repair of mucosal rupture, and left the stomach tube to heal after one month. After 1 year of follow-up, no recurrence was observed, nutrition was improved,quality of life was improved, and family members were satisfied. Conclusion Laparoscopic treatment of children with achalasia has the advantages of less damage, fewer complications, good postoperative recovery,and safety. Laparoscopy has great application value in the treatment of children with achalasia.

关 键 词：贲门失弛缓症 小儿 腹腔镜 

分 类 号：R726.5[医药卫生—儿科]