单部位腹腔镜手术治疗新生儿肠闭锁的效果  

Effect of single site laparoscopic surgery on neonatal intestinal atresia

作　　者：舒芳 张鹏 吴书清 肖赟 钟雅文 钟斌 SHU Fang;ZHANG Peng;WU Shuqing;XIAO Yun;ZHONG Yawen;ZHONG Bin(Ganzhou Maternal and Child Health Hospital,Ganzhou 341000,China)

机构地区：[1]赣州市妇幼保健院,江西赣州341000

出　　处：《临床医药实践》2025年第4期251-254,258,共5页Proceeding of Clinical Medicine

基　　金：2023年赣州市指导性科技计划项目(项目编号:GZ2023ZSF226)。

摘　　要：目的:探讨单部位腹腔镜手术治疗新生儿肠闭锁的临床效果。方法:对2018年1月—2023年12月赣州市妇幼保健院收治的60例新生儿肠闭锁患儿临床资料进行回顾性研究,按照手术治疗方案不同将其分为对照组和观察组,每组30例。对照组采用传统开腹手术,观察组采用单部位腹腔镜手术治疗,对比两组治疗总有效率、手术时间、术中出血量、术后开始肠内营养时间、住院费用、住院时间以及并发症发生率。结果:观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05);观察组手术时间、术后开始肠内营养时间均短于对照组,术中出血量、住院费用低于对照组,差异均有统计学意义(P<0.05);两组住院时间比较,差异无统计学意义(P>0.05)。观察组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:对于新生儿肠闭锁采用单部位腹腔镜手术治疗,可缩短手术时间、术后开始肠内营养时间,降低术中出血量,减少术后切口感染、吻合口瘘、尿潴留、腹腔脓肿等并发症的发生,促进患儿的早日康复。Objective:To explore the clinical effect of single-site laparoscopic surgery in the treatment of neonatal intestinal atresia.Methods:Clinical data of 60 neonatal children with intestinal atresia treated in Ganzhou Maternal and Child Health Hospital from January 2018 to December 2023 were collected and retrospectively studied.According to different surgical treatment plans,the patients were divided into control group and observation group,with 30 cases in each group.The control group received traditional open surgery,while the observation group received single-site laparoscopic surgery.The total effective rate,operation time,intraoperative blood loss,enteral nutrition time,hospital cost,hospital stay and complication rate of the two groups were compared.Results:The total effective rate of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).The operation time and postoperative enteral nutrition start time in the observation group were shorter than those in the control group,and the intraoperative blood loss and hospitalization expenses were lower than those in the control group,with statistical significance(P<0.05).There was no significant difference in hospital stay between the two groups(P>0.05).The total incidence of complications in observation group was lower than that in control group,and the difference was statistically significant(P<0.05).Conclusion:Single-site laparoscopic surgery for neonatal intestinal atresia can shorten the operation time,the time to start enteral nutrition after surgery,reduce the amount of intraoperative blood loss,reduce postoperative incision infection,anastomotic fistula,urinary retention,abdominal abscess and other complications,and promote the early recovery of children.

关 键 词：新生儿肠闭锁 单部位腹腔镜 并发症 

分 类 号：R722.1[医药卫生—儿科]