胸腔镜膈疝修补术治疗新生儿先天性膈疝的效果研究  

Effect of thoracoscopic repair of diaphragmatic hernia on neonatal congenital diaphragmatic hernia

作　　者：穆鑫[1] 王献良 潘登 陈力[1] 杨敏[1] Mu Xin;Wang Xianliang;Pan Deng;Chen Li;Yang Min(Department of Neonatal Surgery,Children’s Hospital Affiliated to Zhengzhou University,Henan Provincial Children’s Hospital,Zhengzhou Children’s Hospital,Zhengzhou 450000,China)

机构地区：[1]郑州大学附属儿童医院、河南省儿童医院、郑州儿童医院新生儿外科,郑州450000

出　　处：《中国实用医刊》2022年第18期16-19,共4页Chinese Journal of Practical Medicine

摘　　要：目的探讨胸腔镜膈疝修补术治疗新生儿先天性膈疝的效果。方法抽取2018年9月至2021年10月河南省儿童医院收治的先天性膈疝新生儿50例,按随机数字表法分为对照组与研究组,每组25例。对照组采用传统开放手术,研究组采用胸腔镜膈疝修补术。比较两组围术期情况、视觉模拟评分法(VAS)评分、并发症发生率、复发率。结果研究组切口长度短于对照组,手术时间、术中出血量少于对照组(P<0.05)。研究组住院时间、术后抗生素使用时间、术后机械通气时间及术后进食时间短于对照组(P<0.05)。术后2、6、12 h,研究组VAS评分低于对照组(P<0.05)。研究组并发症发生率(8.00%,2/25)与对照组(16.00%,4/25)比较差异未见统计学意义(P>0.05)。研究组复发率(16.67%,4/24)与对照组(12.50%,3/24)比较差异未见统计学意义(P>0.05)。结论胸腔镜膈疝修补术治疗新生儿先天性膈疝可改善围术期情况,加快患儿术后恢复,并可减轻手术创伤和机体疼痛,安全性和预后效果良好。Objective To investigate the effect of thoracoscopic repair of diaphragmatic hernia on neonatal congenital diaphragmatic hernia.Methods Fifty neonates with congenital diaphragmatic hernia treated in Henan Provincial Children’s Hospital from September 2018 to October 2021 were selected,and they were divided into control group and study group by random number table method,with 25 cases in each group.The control group was treated by conventional laparotomy surgery,and the study group was treated by thoracoscopic repair of diaphragmatic hernia.The perioperative condition,visual analogue scale(VAS)score,incidence of complications and recurrence rate were compared between the two groups.Results The incision length in the study was shorter than that of the control group,while the operation time and intraoperative blood loss were less than those in the control group(P<0.05).The hospital stay,postoperative antibiotic use,mechanical ventilation time,and postoperative time of food intake in the study group were shorter than those in the control group(P<0.05).The VAS score in the study group was lower than that in the control group 2,6 and 12 h after operation(P<0.05).There was no significant difference in the incidence of complications between the study group(8.00%,2/25)and the control group(16.00%,4/25),P>0.05.There was no significant difference in the recurrence rate between the study group(95.83%,23/24)and the control group(91.67%,22/24),P>0.05.Conclusions Thoracoscopic repair of diaphragmatic hernia in the treatment of neonatal congenital diaphragmatic hernia can improve perioperative situation,accelerate the postoperative recovery,and reduce surgical trauma and pain in the body,with good safety and prognosis.

关 键 词：先天性膈疝 新生儿 胸腔镜膈疝修补术 

分 类 号：R722.1[医药卫生—儿科]