腹腔镜技术治疗小儿粘连性肠梗阻的应用价值研究  

Study on the Application Value of Laparoscopy on Treatment of Adhesive Ileus Obstruction in Children

作　　者：刘伟[1] LIU Wei(Tai’an Maternal and Child Health Hospital,Tai’an 271000,China)

机构地区：[1]泰安市妇幼保健院,山东泰安271000

出　　处：《中外医学研究》2021年第14期147-149,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨腹腔镜技术治疗小儿粘连性肠梗阻的应用价值。方法:收集2018年1月-2019年12月笔者所在医院收治的80例小儿粘连性肠梗阻患儿,随机分为两组,对照组采用开腹手术,研究组采用腹腔镜手术治疗。分析两组治疗前后生理应激监测指标、总失血量、住院时间、手术时间、术后抗生素治疗时间、并发症发生率。结果:治疗前两组生理应激监测指标比较差异无统计学意义(P>0.05),治疗后研究组血清皮质醇、去甲肾上腺素均优于对照组,差异均有统计学意义(P<0.05)。研究组总失血量少于对照组,住院时间、手术时间、术后抗生素治疗时间均短于对照组,差异均有统计学意义(P<0.05)。研究组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:小儿粘连性肠梗阻患儿实施腹腔镜手术可减少创伤,缩短手术时间,有利于减少住院时间,减少并发症的发生,值得推广。Objective:To explore the application value of laparoscopy on treatment of adhesive ileus in children.Method:A total of 80 children with adhesive ileus admitted to our hospital from January 2018 to December 2019 were randomly divided into two groups,the control group received open surgery,and the research group received laparoscopic surgery.Physiological stress monitoring indexes,total blood loss,length of hospital stay,operation time,postoperative antibiotic treatment time and complication rate were analyzed before and after treatment in the two groups.Result:Before treatment,there was no significant difference in physiological stress monitoring indexes between the two groups(P>0.05),after treatment,serum cortisol and norepinephrine in the research group were better than those in the control group,the differences were statistically significant(P<0.05).The total blood loss in the research group was less than that in the control group,and the length of hospital stay,operation time and postoperative antibiotic treatment time were shorter than those in the control group,the differences were statistically significant(P<0.05).The incidence of complications in the research group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:Laparoscopic surgery in children with adhesive ileus can reduce trauma,shorten operation time,reduce hospital stay and reduce the occurrence of complications,which is worth popularizing.

关 键 词：腹腔镜技术 小儿粘连性肠梗阻 应用价值 

分 类 号：R726.5[医药卫生—儿科]