中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
24期
8-10,11
,共4页
吴宙光%王建尧%王斌%陈子民%冯奇%叶晓烁
吳宙光%王建堯%王斌%陳子民%馮奇%葉曉爍
오주광%왕건요%왕빈%진자민%풍기%협효삭
胆道闭锁%腹腔镜%Kasai手术
膽道閉鎖%腹腔鏡%Kasai手術
담도폐쇄%복강경%Kasai수술
Biliary atresia%Laparoscopy%Kasai operation
目的：探讨胆道闭锁患儿年龄对腹腔镜Kasai手术的影响。方法：回顾性分析2010年1月-2015年1月深圳市儿童医院经腹腔镜Kasai手术治疗的胆道闭锁患儿共72例。根据患儿手术时日龄将其分为两组，其中患儿手术日龄≤45 d为研究组25例，手术日龄>45 d为对照组47例，比较两组的手术时间、术中出血量、手术气腹压、中转开放率、术后转入PICU病房率等。结果：研究组平均手术时间及术中出血量比对照组多，两组比较差异有统计学意义（P<0.05）；两组平均手术气腹压比较差异无统计学意义（P<0.05）；两组术后转入PICU病房率比较，研究组高于对照组，差异有统计学意义（P<0.05）；但在中转开放率比较上，两组比较差异无统计学意义（P>0.05）。结论：对于年龄较小的胆道闭锁患儿，腹腔镜Kasai术手术难度及手术风险更大，术中需更加谨慎。
目的：探討膽道閉鎖患兒年齡對腹腔鏡Kasai手術的影響。方法：迴顧性分析2010年1月-2015年1月深圳市兒童醫院經腹腔鏡Kasai手術治療的膽道閉鎖患兒共72例。根據患兒手術時日齡將其分為兩組，其中患兒手術日齡≤45 d為研究組25例，手術日齡>45 d為對照組47例，比較兩組的手術時間、術中齣血量、手術氣腹壓、中轉開放率、術後轉入PICU病房率等。結果：研究組平均手術時間及術中齣血量比對照組多，兩組比較差異有統計學意義（P<0.05）；兩組平均手術氣腹壓比較差異無統計學意義（P<0.05）；兩組術後轉入PICU病房率比較，研究組高于對照組，差異有統計學意義（P<0.05）；但在中轉開放率比較上，兩組比較差異無統計學意義（P>0.05）。結論：對于年齡較小的膽道閉鎖患兒，腹腔鏡Kasai術手術難度及手術風險更大，術中需更加謹慎。
목적：탐토담도폐쇄환인년령대복강경Kasai수술적영향。방법：회고성분석2010년1월-2015년1월심수시인동의원경복강경Kasai수술치료적담도폐쇄환인공72례。근거환인수술시일령장기분위량조，기중환인수술일령≤45 d위연구조25례，수술일령>45 d위대조조47례，비교량조적수술시간、술중출혈량、수술기복압、중전개방솔、술후전입PICU병방솔등。결과：연구조평균수술시간급술중출혈량비대조조다，량조비교차이유통계학의의（P<0.05）；량조평균수술기복압비교차이무통계학의의（P<0.05）；량조술후전입PICU병방솔비교，연구조고우대조조，차이유통계학의의（P<0.05）；단재중전개방솔비교상，량조비교차이무통계학의의（P>0.05）。결론：대우년령교소적담도폐쇄환인，복강경Kasai술수술난도급수술풍험경대，술중수경가근신。
Objective:To explore the effect of age on biliary atresia children of laparoscopic Kasai operation. Method:72 children with biliary atresia after laparoscopic Kasai operation from January 2010 to January 2015 in Shenzhen children's Hospital for were be retrospective analysised.According the operation time of children age,they were divided into two groups,the study group of 25 cases were operation on children with age less than 45 days and the control group of 47 cases were operation days of age>45 days.The average operation time,intraoperative bleeding volume,operation pressure of pneumoperitoneum,conversion to open rate and postoperative transfer into PICU ward rate of two groups were compared.Result:The average operation time amount and intraoperative bleeding volume were more than control group,the differences were statistically significant(P<0.05);the average operation pneumoperitoneum pressure of two groups compared,the difference was no statistically significant(P<0.05);postoperative transfer into PICU ward rate of study group was higher than that of the control group,the difference was statistically significant(P<0.05);but in the conversion to open rate the two groups was no statistical difference(P>0.05).Conclusion:For younger patients with biliary atresia,laparoscopic Kasai surgery is difficulty and has higher risk in the operation,it need be more careful.
