腹腔镜与常规开腹手术治疗先天性肥厚性幽门狭窄的优越性研究  

The superiority of laparoscopic and conventional open surgery in the treatment of congenital hypertrophic pyloric stenosis

作　　者：姜景凯[1] 朱安之[1] 奚玉廷 JIANG Jing-kai;ZHU An-zhi;XI Yu-ting(Department of Pediatric Surgery,The Second People's Hospital of Liaocheng,Liaocheng Shandong 252600,China)

机构地区：[1]聊城市第二人民医院小儿外科,山东聊城252600

出　　处：《临床和实验医学杂志》2020年第14期1528-1530,共3页Journal of Clinical and Experimental Medicine

基　　金：山东省卫生厅基金资助项目(编号:2017HZ018)。

摘　　要：目的比较腹腔镜与常规开腹手术治疗先天性肥厚性幽门狭窄的临床效果。方法采用回顾性研究方法,选取2014年8月至2019年8月聊城市第二人民医院收治的80例先天性肥厚性幽门狭窄患儿,根据治疗方法不同将患儿分为两组:观察组和对照组,每组各40例。观察组患儿采用腹腔镜手术治疗,对照组患儿采用常规开腹手术治疗,对比两组患儿手术相关指标、临床治疗效果以及术后并发症发生情况。结果在手术指标方面,两组患儿的手术时间比较,差异无统计学意义(P>0.05);观察组患儿的术后恢复喂养时间(6.37±1.43 h)、住院时间(4.42±0.74 d)均明显短于对照组(12.42±2.62 h,8.48±0.82 d),术中出血量(4.19±0.42 ml)明显少于对照组(10.26±1.36 ml),差异均有统计学意义(P<0.05);整体疗效评估显示,观察组总有效率(95.00%)明显高于对照组(75.00%),差异有统计学意义(P<0.05);观察组患儿术后1个月随访观察并发症发生率(5.00%)明显低于对照组(22.50%),差异有统计学意义(P<0.05)。结论与开腹手术比较,针对先天性肥厚性幽门狭窄患儿行腹腔镜手术,能够减轻创伤,并预防术后并发症,值得临床借鉴。Objective To compare the effect of laparoscopic and conventional open surgery in the treatment of congenital hypertrophic pyloric stenosis.Methods 80 children with congenital hypertrophic pyloric stenosis admitted to the second people's Hospital of Liaocheng City,Shandong Province from August 2014 to August 2019 were divided into two groups according to different treatment methods:the observation group and the control group,40 cases in each group.The patients in the observation group were treated by laparoscopic surgery,while the patients in the control group were treated by conventional open surgery.The operation related indexes,clinical treatment effect and postoperative complications of the two groups were compared.Results In terms of operative indexes,there was no significant difference in operation time between the two groups(P>0.05).The recovery feeding time(6.37±1.43 h)and hospitalization time(4.42±0.74 d)in the observation group were significantly shorter than those in the control group(12.42±2.62 h,8.48±0.82 d),and the amount of intraoperative bleeding(4.19±0.42 ml)was significantly lower than that in the control group(10.26±1.36 ml),the difference was statistically significant(P<0.05).The overall efficacy evaluation showed that the efficiency(95.00%)of the observation group was significantly higher than that of the control group(75.00%),the difference was statistically significant(P<0.05).The incidence of complications(5.00%)in the observation group was significantly lower than that in the control group(22.50%),the difference was statistically significant(P<0.05).Conclusion Laparoscopic surgery for congenital hypertrophic pyloric stenosis can reduce trauma and prevent postoperative complications,which is worthy of clinical reference.

关 键 词：先天性肥厚性幽门狭窄 腹腔镜手术 开腹手术 优越性 

分 类 号：R726.5[医药卫生—儿科]