腹腔镜治疗小儿上消化道穿孔的疗效分析  

The effect of Laparoscope in the treatment of upper gastrointestinal per foration in children

作　　者：周新 周玲[1] 颜景灏 刘妍芳[1] ZHOU Xin;ZHOU Ling;YAN JingHao;LIU YanFang(Department of pediatric surgery,People’s Hospital of Xinjiang Uygur Autonomous Region,Xinjiang,Urumqi,830001,China)

机构地区：[1]新疆维吾尔自治区人民医院小儿外科,新疆乌鲁木齐830001

出　　处：《新疆医学》2020年第1期14-17,共4页Xinjiang Medical Journal

摘　　要：目的探讨通过腹腔镜下治疗小儿上消化道穿孔的可行性及疗效分析。方法回顾性分析2009年1月-2018年4月期间新疆维吾尔自治区人民医院小儿外科收治的21例上消化道穿孔患儿、2015年2月-2017年10月本院收治的上消化道穿孔行传统修补术的10例患儿的临床资料,21例患儿术前明确诊断消化道穿孔,术中进行腹腔镜探查,发现均为上消化道穿孔,胃溃疡13例,十二指肠溃疡8例,予以修补,分析患儿基本情况、手术资料、术后恢复等情况。结果腹腔镜下治疗小儿上消化道穿孔21例患儿手术时间平均86.7±18.2 min,术中出血少约8.2±3.4 ml,总住院时间8.6±2.9 d,术后恢复快,观察一周,进食后未见有瘘,无明显手术疤痕,术后随访6个月未见明显异常,疗效满意。结论腹腔镜治疗小儿上消化道穿孔术中损伤小,并发症少,术后恢复快,手术操作简单,十分适合于儿童,值得推广。Objective To investigate the feasibility and efficacy of laparoscope in treatment of upper gastrointestinal perforation in children.Methods Clinical data about 21 children with upper gastrointestinal perforation admitted to the department of pediatric surgery,People’s Hospital of Xinjiang Uygur Autonomous Region from January 2009 to April 2018,and 10 children undergoing the upper gastrointestinal perforation and being treated with traditional repair in our hospital from February 2015 to October 2017 were retrospectively analyzed.The perforation of digestive tract was clearly diagnosed in 21 children before operation,and laparoscopic exploration during the operation showed that all of them were perforation of upper digestive tract.13 cases of gastric ulcer and 8 cases of duodenal ulcer were repaired.The basic situation,surgical data and postoperative recovery of all the children were analyzed.Results The mean operation time of laparoscopic treatment for 21 children with upper gastrointestinal perforation was 86.7±18.2 min,the intraoperative bleeding was about 8.2±3.4 ml,and the total hospital stay was 8.6±2.9 d.The patients recovered quickly after the operation.?After one week of observation,no fistula was observed after eating,and no obvious surgical scar was observed.No obvious abnormality was observed after 6 months of follow-up,and the effect was satisfactory.Conclusion Laparoscope in the treatment of children with upper gastrointestinal perforation has many advantages,such as less damage,less complications,quick recovery after operation,simple operation,and it is very suitable for children.So it is worth promoting.

关 键 词：腹腔镜 小儿 上消化道穿孔 

分 类 号：R656.6[医药卫生—外科学]