腹腔镜辅助经脐小切口治疗小儿美克尔憩室的临床分析  

Clinical analysis of laparoscopy assisted small incision of umbilicus in the treatment of Meckel's diverticulum in children

作　　者：刘超 闫动 李香 张蕾 李燕 LIU Chao;YAN Dong;LI Xiang;ZHANG Lei;LI Yan(Department of Pediatric Surgery,Cheeloo College of Medicine,Shandong University,Qingdao 266035,Shandong,China;Department of Anesthesia,Cheeloo College of Medicine,Shandong University,Qingdao 266035,Shandong,China;Department of Research Office,Qilu Hospital(Qingdao),Cheeloo College of Medicine,Shandong University,Qingdao 266035,Shandong,China)

机构地区：[1]山东大学齐鲁医院(青岛)儿外科,山东青岛266035 [2]山东大学齐鲁医院(青岛)麻醉科,山东青岛266035 [3]山东大学齐鲁医院(青岛)科研处,山东青岛266035

出　　处：《山东大学学报（医学版）》2020年第9期40-44,共5页Journal of Shandong University:Health Sciences

基　　金：山东省重点研发计划(2016GSF201033);青岛市产业培育计划科技惠民专项(18-6-1-73-nsh)。

摘　　要：目的探讨腹腔镜辅助经脐小切口治疗小儿美克尔憩室的临床可行性及安全性。方法回顾性分析2013年12月至2019年6月在山东大学齐鲁医院(青岛)儿外科行手术治疗的32例小儿美克尔憩室的临床资料,包括一般资料、症状体征、辅助检查、手术情况及术后并发症。结果 32例患儿中男21例,女11例,平均(4.2±2.9)岁;其中以消化道便血症状就诊20例,憩室炎4例,消化道梗阻8例。所有患儿均行腹腔镜辅助经脐小切口手术治疗,平均手术时间为(42.8±11.3)min,平均住院日为(7.8±1.9)d。所有病例术后病理诊断为美克尔憩室,术后长期随访,无切口感染、切口疝等并发症,手术切口隐匿、美观。结论小儿美克尔憩室临床表现多样,对于可疑病例应积极手术探查;腹腔镜辅助下经脐小切口手术用于小儿美克尔憩室的治疗安全有效,手术切口隐匿、美观。Objective To explore the clinical feasibility and safety of laparoscopy assisted small incision of umbilicus in the treatment of Meckel?s diverticulum in children. Methods The clinical data of 32 children with Meckel?s diverticulum during Dec. 2013 and Jun. 2019 were retrospectively analyzed, including general information, symptoms and signs, results of auxiliary examinations, operation and postoperative complications. Results Of the 32 cases, 21 were male and 11 were female, with an average age of(4.2±2.9) years. All patients came to see doctors due to various symptoms, including hematochezia in 20 cases, diverticulitis in 4 cases and intestinal obstruction in 8 cases. Laparoscopy assisted small incision of umbilicus was performed in all cases. The average operation time was(42.8±11.3) minutes, and average hospital stay was(7.8±1.9) days. All cases were diagnosed as Meckel?s diverticulum by pathological examination. Long-term follow-up showed no infection of incision, incision hernia or other complications. The incision was concealed with good cosmetic effects. Conclusion Meckel?s diverticulum in children has various clinical manifestations, and active surgical exploration should be performed in suspected cases. Laparoscopy assisted small incision of umbilicus is a safe and effective treatment, with concealed incision and good cosmetic effects.

关 键 词：腹腔镜 经脐 小切口 美克尔憩室 

分 类 号：R726.1[医药卫生—儿科]