腹腔镜微创治疗新生儿先天性肥厚性幽门狭窄的临床效果  

Clinical effect of minimally invasive laparoscopy in the treatment of neonatal congenital hypertrophic pyloric stenosis

作　　者：孔海宁[1] KONG Haining(Department of Pediatric Surgery,Zibo Maternal and Child Health Hospital,Shandong Province,Zibo 255000,China)

机构地区：[1]山东省淄博市妇幼保健院小儿外科,山东淄博255000

出　　处：《妇儿健康导刊》2023年第5期87-89,共3页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

摘　　要：目的探讨腹腔镜微创治疗新生儿先天性肥厚性幽门狭窄的临床效果。方法选取2012年5月至2022年5月淄博市妇幼保健院收治的54例先天性肥厚性幽门狭窄患儿作为研究对象。根据抽签法分为对照组与实验组,每组各27例。对照组采用经脐入路开腹手术,实验组采用腹腔镜幽门环肌切开术。比较两组患儿手术相关指标及并发症。结果两组的手术时间比较,差异无统计学意义(P>0.05)。实验组患儿术中出血量少于对照组,住院时间、恢复进食、全量喂养时间短于对照组,差异有统计学意义(P<0.05)。实验组患儿的并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论先天性肥厚性幽门狭窄患儿接受腹腔镜微创手术治疗,可加快其术后恢复速度,临床应用具有积极意义。Objective To explore the clinical effect of minimally invasive laparoscopy in the treatment of neonatal congenital hypertrophic pyloric stenosis.Methods A total of 54 children with congenital hypertrophic pyloric stenosis admitted to Zibo Maternal and Child Health Hospital from May 2012 to May 2022 were selected as the study subjects.According to the method of drawing lots,they were divided into control group and experimental group,with 27 cases in each group.The control group received laparotomy via umbilical approach,and the experimental group received minimally invasive laparoscopy.The operation related indexes and complications of the two groups were compared.Results There was no statistically significant difference in the operation time between the two groups(P>0.05).The amount of bleeding during operation was less than that in the control group,the length of hospital stay,the time of resuming eating and the time of full feeding in the experimental group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The total incidence of complications in the experimental group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Application of minimally invasive laparoscopy in the treatment of congenital hypertrophic pyloric stenosis can accelerate the postoperative recovery and has positive clinical significance.

关 键 词：腹腔镜 新生儿 先天性肥厚性幽门狭窄 临床疗效 

分 类 号：R726[医药卫生—儿科]