吉林医学
吉林醫學
길림의학
JILIN MEDICAL JOURANL
2014年
29期
6441-6442
,共2页
小儿肠套叠%腹腔镜复位%开腹复位
小兒腸套疊%腹腔鏡複位%開腹複位
소인장투첩%복강경복위%개복복위
Pediatric intussusceptions%Laparoscopic reduction%Open surgery reduction
目的：探讨微型腹腔镜辅助治疗小儿肠套叠的临床价值。方法：回顾性分析小儿肠套叠经空气灌肠失败需腹腔镜手术辅助复位病例28例，与同期采用传统开腹手术治疗的21例难复性肠套叠患儿进行比较，分析两组手术时间、术中出血量、术后胃肠道恢复时间、住院费用及住院时间，并观察记录并发症发生情况。结果：腹腔镜手术与开腹手术均无死亡病例。腹腔镜组在住院时间、术中出血量、术后胃肠功能恢复时间较开腹组明显减少（P＜0.05），而住院费用方面则明显增加（P＜0.05）。两组在手术时间、复发率及并发症等方面差异无统计学意义（P＞0.05）。结论：微型腹腔镜手术治疗小儿肠套叠安全、有效，具有创伤少、恢复快等优点，可望在临床推广应用。
目的：探討微型腹腔鏡輔助治療小兒腸套疊的臨床價值。方法：迴顧性分析小兒腸套疊經空氣灌腸失敗需腹腔鏡手術輔助複位病例28例，與同期採用傳統開腹手術治療的21例難複性腸套疊患兒進行比較，分析兩組手術時間、術中齣血量、術後胃腸道恢複時間、住院費用及住院時間，併觀察記錄併髮癥髮生情況。結果：腹腔鏡手術與開腹手術均無死亡病例。腹腔鏡組在住院時間、術中齣血量、術後胃腸功能恢複時間較開腹組明顯減少（P＜0.05），而住院費用方麵則明顯增加（P＜0.05）。兩組在手術時間、複髮率及併髮癥等方麵差異無統計學意義（P＞0.05）。結論：微型腹腔鏡手術治療小兒腸套疊安全、有效，具有創傷少、恢複快等優點，可望在臨床推廣應用。
목적：탐토미형복강경보조치료소인장투첩적림상개치。방법：회고성분석소인장투첩경공기관장실패수복강경수술보조복위병례28례，여동기채용전통개복수술치료적21례난복성장투첩환인진행비교，분석량조수술시간、술중출혈량、술후위장도회복시간、주원비용급주원시간，병관찰기록병발증발생정황。결과：복강경수술여개복수술균무사망병례。복강경조재주원시간、술중출혈량、술후위장공능회복시간교개복조명현감소（P＜0.05），이주원비용방면칙명현증가（P＜0.05）。량조재수술시간、복발솔급병발증등방면차이무통계학의의（P＞0.05）。결론：미형복강경수술치료소인장투첩안전、유효，구유창상소、회복쾌등우점，가망재림상추엄응용。
Objective To explore the clinic value of laparoscopic reduction of introsusception for children.Methods Forty children with intussusceptions were selected from those of failure to air enema.All cases were received surgical procedure including Laparoscopic reduction(n=28) and open surgical reduction(n=21).The operation time,blood loss during operation,complications,intestinal function recovery,hospital stay,cost and recurrence were compared between two surgical procedures.Results The average time of intestinal function recovery,hospital stay and blood loss in Laparoscopic group were significantly lower than those in open surgical group(P<0.05).No differences were found between two groups in operation time,complications and recurrence(P>0.05).Conclusion Laparoscopic reduction of introsusception is effective and safe for children with advantages of less injury and more rapid recovery.
