单孔与三孔腹腔镜手术治疗先天性肥厚性幽门狭窄比较  

Comparison of single-hole and three-hole laparoscopic surgery in the treatment of congenital hypertrophic pyloric stenosis

作　　者：徐科[1] 周良 XU Ke;ZHOU Liang(Department of general surgery, Children's Hospital Affiliated of Zhengzhou University, Zhengzhou 450007, China)

机构地区：[1]郑州大学附属儿童医院普外科

出　　处：《现代仪器与医疗》2019年第2期14-17,共4页Modern Instruments & Medical Treatment

摘　　要：目的:对比单孔与三孔腹腔镜手术治疗先天性肥厚性幽门狭窄(Congenital hypertro phicpyloric stenosis,CHPS)的效果与安全性,总结临床术式选择思路。方法:将2016年3月至2018年3月期间行幽门环肌切开术的92例CHPS患儿随机分配入单孔组、三孔组,每组各46例,分别使用单孔、三孔腹腔镜行幽门环肌切开术治疗,对比两组患儿手术情况、恢复情况及随访情况,分析两种手术方法治疗CHPS的效果与安全性。结果:两组患儿手术均顺利完成,无中转开腹者,其手术情况及恢复情况比较,差异无统计学意义(P>0.05)。单孔组、三孔组术后并发症发生率分别为8.69%、13.04%,组间比较差异无统计学意义(P>0.05)。三孔组腹部切口瘢痕较为明显,而单孔组脐部瘢痕隐蔽且美观,几乎观察不到瘢痕残留。结论:单孔与三孔腹腔镜手术治疗CHPS的安全性及有效性相当,较三孔腹腔镜手术而言,单孔腹腔镜手术的切口更为隐蔽美观,临床推广价值更高。Objective: This study was researched to compare the efficacy and safety of congenital hypertrophic pyloric stenosis (CHPS) treated by single-orifice and three-orifice laparoscopic surgery, and summarize the concept of clinical operation selection. Methods: From March 2016 to March 2018, 92 cases of CHPS children underwent pyloromyotomy were randomly assigned into the single-port group, the three-port group, each group of 46 cases, using single-port laparoscopy, three-port laparoscopy for pyloromyotomy respectively, operation situation, situation of recovery and follow-up of two groups of children were compared, and the effect and security of the two methods of surgical treatment of CHPS were analysed. Results: The two groups of children were successfully completed surgery, no transfer to open, the operation and recovery of the comparison, the difference was not statistically significant (P>0.05). The incidence of postoperative complications in the single-port group and the three-port group was 8.69% and 13.04%, respectively, and the difference between the two groups was not statistically significant (P>0.05). In the three-port group, the abdominal incision scar was obvious, while in the single-port group, the umbilical scar was hidden and beautiful, and the scar residue could hardly be observed. Conclusions: Single-port laparoscopic surgery is as safe and effective as three-port laparoscopic surgery in the treatment of CHPS. Compared with three-port laparoscopic surgery, single-port laparoscopic surgery has more concealed and beautiful incisions and higher clinical promotion value.

关 键 词：单孔腹腔镜 三孔腹腔镜 先天性肥厚性幽门狭窄 

分 类 号：R726.1[医药卫生—儿科]