经脐腹腔镜手术与传统开放手术治疗小儿肠套叠的近、远期疗效观察  

Short-term and Long-term Effects of Transumbilical Laparoscopic Surgery and Traditional Open Surgery in the Treatment of Intussusception in Children

作　　者：付裕雯 张楠[2] FU Yu-wen;ZHANG Nan(Department of Pediatric Surgery,The First People's Hospital of Shangqiu City,Shangqiu 476100,Henan Province,China;Department Pediatric of Zhengzhou People's Hospital,Zhengzhou 450000,Henan Province,China)

机构地区：[1]商丘市第一人民医院小儿外科,河南商丘476100 [2]郑州人民医院儿科,河南郑州450000

出　　处：《罕少疾病杂志》2023年第3期63-64,86,共3页Journal of Rare and Uncommon Diseases

基　　金：河南省医学科技攻关计划联合项目(LHGJ20191075)。

摘　　要：目的观察并对比经脐腹腔镜手术与传统开放手术在小儿肠套叠临床治疗中的近、远期疗效。方法选取2020年4月至2022年3月期间我院收治的64例肠套叠患儿作为研究对象,将先入院的32例患儿设为传统组,实施传统开放手术治疗,后入院的32例患儿设为腹腔镜组,实施经脐腹腔镜手术治疗。记录并对比两组患者的各项手术指标及并发症发生率,同时对所有患儿进行为期12个月的随访,观察患儿疾病复发情况。结果手术指标表明,在手术时间上,传统组要显著短于腹腔镜组,P<0.05;在排气恢复时间、排便恢复时间、进食恢复时间、下床活动时间以及住院时间等指标上,腹腔镜组则要显著短于传统组,P<0.05。并发症显示,传统组并发症发生率为25.00%(8/32),而腹腔镜组并发症发生率为3.13%(1/32)。两组数据对比存在显著差异,P<0.05。术后随访发现,在术后1个月、3个月、12个月,腹腔镜组患儿疾病复发率均显著低于传统组,P<0.05。结论在腹腔镜下行小儿肠叠套治疗,较传统开服手术近、远期疗效更为显著,既有利于改善患儿症状,亦可减少术后相关并发症和复发率,对提高患者预后,促进其肠道功能恢复具有重要意义。Objective To observe and compare the short-term and long-term effects of transumbilical laparoscopic surgery and traditional open surgery in the clinical treatment of intussusception in children.Methods 64 children with intussusception admitted to our hospital from April 2020 to March 2022 were selected as the research objects,and the 32 children who were admitted to the hospital first were set as the traditional group,and they were treated with traditional open surgery,and those who were later admitted to the hospital were selected.Thirty-two children were assigned to the laparoscopic group and underwent transumbilical laparoscopic surgery.The surgical indicators and complication rates of the two groups were recorded and compared,and all the children were followed up for 12 months to observe the recurrence of the disease.Results The surgical indicators showed that the operation time of the traditional group was significantly shorter than that of the laparoscopic group,P>0.05;in terms of exhaust recovery time,defecation recovery time,eating recovery time,getting out of bed and hospitalization time,the The laparoscopy group was significantly shorter than the traditional group,P>0.05.Complications showed that the complication rate in the traditional group was 25.00%(8/32),while the complication rate in the laparoscopic group was 3.13%(1/32).There was a significant difference between the two groups of data,P>0.05.The postoperative follow-up showed that the recurrence rate of children in the laparoscopic group was significantly lower than that in the traditional group at 1 month,3 months,and 12 months after the operation,P>0.05.Conclusion Laparoscopic intussusception in children has more significant short-term and long-term curative effects than traditional open surgery.It is not only conducive to improving the symptoms of children,but also reducing postoperative complications and recurrence rates,and improving the prognosis of patients,it is of great significance to promote the recovery of its intestinal function.

关 键 词：小儿肠套叠 经脐腹腔镜手术 传统开放手术 临床疗效 对比研究 

分 类 号：R459.9[医药卫生—治疗学]