临床小儿外科杂志
臨床小兒外科雜誌
림상소인외과잡지
JOURNAL OF CLINICAL FEDIATRIC SURGERY
2014年
6期
519-520
,共2页
刘辉%钟斌%刘红芳%吴书清%刘传荣%赖永锋
劉輝%鐘斌%劉紅芳%吳書清%劉傳榮%賴永鋒
류휘%종빈%류홍방%오서청%류전영%뢰영봉
腹腔镜%幽门狭窄,肥厚性%治疗%儿童
腹腔鏡%幽門狹窄,肥厚性%治療%兒童
복강경%유문협착,비후성%치료%인동
Laparoscopes%Pyloric Stenosis,Hypertrophic%Therapy%Child
目的总结腹腔镜下幽门环肌切开术治疗小儿先天性肥厚性幽门狭窄的临床经验,探讨其手术技巧和相关并发症的防治。方法回顾性分析2010年3月至2014年7月本院经腹腔镜行幽门环肌切开治疗的62例先天性肥厚性幽门狭窄患儿临床资料。结果62例中,59例顺利完成手术,术中3例幽门黏膜损伤中转开腹手术,术后1例并发脐部戳孔疝,经修补治愈,1例术后仍有呕吐,行开放手术证实为肌层切开厚度不够所致。所有病例均无呕吐及肠粘连、肠梗阻等并发症发生。结论腹腔镜下行幽门环肌切开术治疗小儿先天性肥厚性幽门狭窄疗效确切,术中损伤小,术后瘢痕小,但需要较高的腹腔镜操作技术。
目的總結腹腔鏡下幽門環肌切開術治療小兒先天性肥厚性幽門狹窄的臨床經驗,探討其手術技巧和相關併髮癥的防治。方法迴顧性分析2010年3月至2014年7月本院經腹腔鏡行幽門環肌切開治療的62例先天性肥厚性幽門狹窄患兒臨床資料。結果62例中,59例順利完成手術,術中3例幽門黏膜損傷中轉開腹手術,術後1例併髮臍部戳孔疝,經脩補治愈,1例術後仍有嘔吐,行開放手術證實為肌層切開厚度不夠所緻。所有病例均無嘔吐及腸粘連、腸梗阻等併髮癥髮生。結論腹腔鏡下行幽門環肌切開術治療小兒先天性肥厚性幽門狹窄療效確切,術中損傷小,術後瘢痕小,但需要較高的腹腔鏡操作技術。
목적총결복강경하유문배기절개술치료소인선천성비후성유문협착적림상경험,탐토기수술기교화상관병발증적방치。방법회고성분석2010년3월지2014년7월본원경복강경행유문배기절개치료적62례선천성비후성유문협착환인림상자료。결과62례중,59례순리완성수술,술중3례유문점막손상중전개복수술,술후1례병발제부착공산,경수보치유,1례술후잉유구토,행개방수술증실위기층절개후도불구소치。소유병례균무구토급장점련、장경조등병발증발생。결론복강경하행유문배기절개술치료소인선천성비후성유문협착료효학절,술중손상소,술후반흔소,단수요교고적복강경조작기술。
Objetive To summarize the clinical experience of laparoscopic pyloromyotomy for treatment of congenital hypertrophic pyloric stenosis,and to explore the surgerical skills and prevention of relevant com-plications.Methods Retrospective analysis of clinical data about 62 cases of children with congenital hyper-trophic pyloric stenosis by laparoscopic pyloromyotomy from March ,2010 to July,2014 in our hospital. Re-sults 59 Cases of laparoscopic operation were successfully completed,3 Cases of pyloric mucosa were injured and then operated by laparotomy,postoperative 1 case had umbilical hernia and cured with hole repair,1 case of postoperative was still vomiting,then underwent open operation and confirmed myotomy thickness was not e-nough,all cases have no vomiting and intestinal adhesions,intestinal obstruction and other long-term complica-tions. Conclusion The curative effect of laparoscopic pyloromyotomy for treating congenital hypertrophic py-loric stenosis is reliable,and less surgical trauma,little operation scar,but need higher laparoscopic operation technology.