腹腔镜手术治疗小儿小肠重复畸形的临床疗效及安全性分析  

Clinical effect and safety analysis of laparoscopic operation for small intestinal duplication in children

作　　者：李承学 王仲秋 LI Cheng-xue;WANG Zhong-qiu(Department of Pediatric Surgery,Jinan People's Hospital,Jinan 271100,China)

机构地区：[1]济南市人民医院小儿外科,山东济南271100

出　　处：《腹腔镜外科杂志》2020年第11期862-865,共4页Journal of Laparoscopic Surgery

摘　　要：目的:探讨腹腔镜手术治疗小儿小肠重复畸形的临床疗效及安全性。方法:选择2014年1月至2019年12月手术治疗的72例小肠重复畸形患儿为研究对象。根据手术类型分为传统组(n=30)与腹腔镜组(n=42)。传统组行传统开腹囊肿切除术,观察组行经脐入路腹腔镜手术。比较两组手术时间、术中出血量、术后胃管拔除时间、术后住院时间,术后随访12个月,比较两组术后并发症发生情况。结果:腹腔镜组手术时间[(67.68±15.34)min vs.(56.35±12.46)min]长于传统组,术后胃管拔除时间[(2.08±0.66)d vs.(2.65±0.78)d]及住院时间[(10.45±2.87)d vs.(13.81±3.36)d]短于传统组,差异有统计学意义(P<0.05);两组术中出血量差异无统计学意义(P>0.05);术后及出院后12个月内,腹腔镜组并发症总发生率(4.76%vs.23.33%)低于传统组,差异有统计学意义(P<0.05)。结论:腹腔镜手术是治疗小儿小肠重复畸形的有效方法,相较传统开腹手术,腹腔镜手术可明显缩短术后胃管拔除时间及住院时间,减少术后并发症,临床疗效满意,安全性高。Objective:To explore the clinical effect and safety of laparoscopic operation in the treatment of small intestinal duplication in children.Methods:From Jan.2014 to Dec.2019,72 children with small intestinal duplication who underwent the surgical treatment were selected as the study objects.According to different types of operation,the patients were divided into traditional group(n=30)and laparoscopic group(n=42).The traditional group was treated with traditional open cystectomy,and the laparoscopic group was treated with laparoscopy via umbilical approach.The operation time,intraoperative bleeding volume,postoperative gastric tube extubation time and postoperative hospital stay were compared between the two groups;after follow-up of 12 months,the complications of the two groups were compared.Results:The operation time of laparoscopic group was longer than that of traditional group[(67.68±15.34)min vs.(56.35±12.46)min],the time of gastric tube extraction[(2.08±0.66)d vs.(2.65±0.78)d]and the time of hospitalization[(10.45±2.87)d vs.(13.81±3.36)d]were less than those of traditional group,the differences were statistically significant(P<0.05);there was no statistically significant difference between the two groups in the amount of bleeding during operation(P>0.05);after operation and within 12 months after discharge,the total incidence of complications in the laparoscopic group was 4.76%,which was significantly lower than that in the traditional group(23.33%,P<0.05).Conclusions:Laparoscopic surgery is an effective method for the treatment of small intestinal duplication in children.Compared with the traditional open surgery,laparoscopic surgery can significantly shorten the time of gastric tube extraction and hospitalization,reduce postoperative complications,with satisfactory clinical effect and high safety.

关 键 词：小肠重复畸形 腹腔镜检查 儿童 治疗结果 安全性 

分 类 号：R656.7[医药卫生—外科学]