CAJ | 학술논문

目的总结腹腔镜下行先天性后外侧膈疝修补术的临床经验.方法回顾分析2007年以来我科应用腹腔镜治疗的10例后外侧膈疝患儿的临床资料,对操作经验进行总结.结果全部病例修补成功,手术时间90～150 min,术中出血量少(2～3ml)；1例死于术后呼吸衰竭；1例新生儿患儿术后出现复发；术后3～4 d给予进食；3～6个月随访,复查X线显示膈肌恢复正常.结论腹腔镜下先天性后外侧膈疝修补术安全可靠,是一种可行的方法.
목적 총결복강경하행선천성후외측격산수보술적림상경험.방법 회고분석2007년이래아과응용복강경치료적10례후외측격산환인적림상자료,대조작경험진행총결.결과 전부병례수보성공,수술시간90～150 min,술중출혈량소(2～3ml)；1례사우술후호흡쇠갈；1례신생인환인술후출현복발；술후3～4 d급여진식；3～6개월수방,복사X선현시격기회복정상.결론 복강경하선천성후외측격산수보술안전가고,시일충가행적방법.
Objective To summarize the clinical experience of repair of congenital posterolateral diaphragmatic hernia under lapaoroscopy.Methods Retrospectively analyzed the clinical data of 10 infants with congenital posterolateral diaphragmatic hernia treated under laparoscopy.And summarize the surgical experience.Results The repairs were successful in all infants.The operation time was 90-150 minutes; bleeding volume was 2-3 ml.1 newborn postoperatively died of respiratory failure.Recurrence occurred in 1 newborn.The infants were fed 3-4 days after the surgery.A 3-6 months' follow-up showed no complication or recurrence.Conclusions Repair of congenital posterolateral diaphragmatic hernia under laparoscopy in infants is safe and feasible.