腹腔镜下复位手术治疗小儿肠套叠的效果  

Effect of laparoscopic reduction surgery in the treatment of pediatric intussusception

作　　者：张忠军 孔祥明[1] ZHANG Zhong-jun;KONG Xiang-ming(Department of Pediatric Surgery,Tengzhou Central People's Hospital,Tengzhou Shandong Province 277500,China)

机构地区：[1]滕州市中心人民医院小儿外科,山东滕州277500

出　　处：《中国城乡企业卫生》2024年第4期144-146,共3页Chinese Journal of Urban and Rural Enterprise Hygiene

摘　　要：目的探析腹腔镜下复位手术在小儿肠套叠治疗中的应用效果,为更好的治疗小儿肠套叠提供方法。方法选取2021年5月—2022年9月滕州市中心人民医院收治的76例肠套叠患儿,随机分为对照组和观察组各38例。对照组采取传统开腹手术,观察组采用腹腔镜下复位手术治疗。比较两组复位成功率、手术时间、术中出血量、下床活动、首次肛门排气时间、饮食恢复时间、住院时间及并发症发生率。结果对照组复位成功率为100.00%,观察组复位成功率为97.34%,两组比较差异无统计学意义(P>0.05)。观察组手术时间、术中出血量、下床活动时间、首次肛门排气时间、饮食恢复时间以及住院时间均短于对照组,差异均有统计学意义(P<0.05)。观察组并发症发生率为5.26%,低于对照组的21.05%,差异有统计学意义(χ^(2)=4.146,P<0.05)。结论腹腔镜下复位手术在小儿肠套叠治疗中,可明显减少患者治疗时间及住院时间等,获得相对理想的复位效果,且有助于降低并发症发生率,值得临床推广应用。Objective To explore the application effect of laparoscopic reduction surgery in the treatment of pediatric intussusception,and to provide a better method for the treatment of intussusception in children.Methods A total of 76 cases of pediatric intussusception treated in Tengzhou Central People's Hospital from May 2021 to September 2022 were selected and randomly divided into control group and observation group,with 38 cases in each group.The control group was treated with traditional open surgery and the observation group was treated with laparoscopic reduction surgery.The success rate of reduction,surgical time,intraoperative blood loss,time for getting out of bed,time for first anal exhaust,time for dietary recovery,length of hospital stay and incidence of complications between two groups were compared.Results The success rate of reduction in the control group was 100.00%,the success rate of reduction in the observation group was 97.34%,and there was no statistically significant difference between the two groups(P>0.05).The surgical time,intraoperative blood loss,time for getting out of bed,time for first anal exhaust,time for dietary recovery,length of hospital stay in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 5.26%,which was lower than the control group's 21.05%,and the difference was statistically significant(χ^(2)=4.146,P<0.05).Conclusion Laparoscopic reduction surgery in the treatment of pediatric intussusception can significantly reduce patient treatment time and hospital stay,achieve relatively ideal reduction effects,and help reduce the incidence of complications,which was worthy of clinical promotion and application.

关 键 词：小儿 肠套叠 腹腔镜下复位手术 

分 类 号：R726.5[医药卫生—儿科]