腹腔镜手术与开腹手术治疗先天性肠旋转不良对比研究  

A comparative study of laparoscopy versus open surgery for intestinal malrotation in neonates

作　　者：左伟 葛大海 刘翔 高威 赵萍 张燕敏 Zuo Wei;Ge Dahai;Liu Xiang(Dept of Neonatal Surgery,Anhui Provincial Children's Hospital,Hefei 230051)

机构地区：[1]安徽省儿童医院新生儿外科,合肥230051

出　　处：《安徽医科大学学报》2020年第3期483-486,共4页Acta Universitatis Medicinalis Anhui

基　　金：安徽省卫生健康委科研计划项目(编号:2019SEY007)。

摘　　要：探讨腹腔镜手术治疗先天性肠旋转不良的安全性和有效性,评估腹腔镜手术在治疗先天性肠旋转不良中的应用价值。回顾性分析183例先天性肠旋转不良病例,其中腹腔镜手术124例,开腹手术59例。腹腔镜手术与开腹手术在肠旋转不良无中肠扭转或中肠扭转不足360°病例的手术时间、术后并发症发生率和术后住院时间差异均无统计学意义;在肠旋转不良合并中肠扭转达到或超过360°病例中,腹腔镜手术组手术时间明显延长,但术后住院日明显缩短,差异有统计学意义。腹腔镜手术治疗先天性肠旋转不良安全、有效,虽然在合并中肠扭转达到或超过360°组别中手术时间延长,但术后住院日缩短,具有一定优势,值得推广。To investigate the safety and effectiveness of laparoscopic surgery for congenital intestinal malrotation and evaluate the value of laparoscopic surgery in the treatment of congenital intestinal malrotation. The clinical data of 183 cases with congenital intestinal malrotation were retrospectively analyzed, including 124 cases of laparoscopic operation and 59 cases of open operation. In patients with intestinal malrotation without midgut volvulus or with midgut volvulus less than 360°, there was no significant difference in operation time, postoperative complication rateand postoperative hospital stay between laparoscopic operation group and open operation group. In patients with intestinal malrotation and midgut volvulus reaching or exceeding 360°, the operation time of laparoscopic surgery group was significantly prolonged, but the postoperative hospital stay was significantly shortened, and the difference was statistically significant. Laparoscopic surgery is safe and effective in the treatment of congenital intestinal malrotation. Although the operation time is prolonged in the group with midgut volvulus reaching or exceeding 360°, postoperative hospital stay is shortened. Laparoscopic surgery has certain advantages and is worth promoting.

关 键 词：腹腔镜 先天性肠旋转不良 中肠扭转 Ladd术 新生儿 

分 类 号：R726.1[医药卫生—儿科]