CAJ | 학술논문

目的：探讨快速康复外科在腹腔镜手术治疗小儿肠套叠中的价值及安全性。方法选择我院2009年6月至2014年6月收治的小儿急性肠套叠78例，随机分为快速康复组（39例）和对照组（39例）。比较两组的术后肠蠕动恢复时间、住院时间及住院费用，并观察记录术后不良反应发生率情况。结果所有患儿均顺利完成，无一例死亡，无中转开腹手术，术后无肠瘘、腹腔脓肿及切口感染等并发症发生。手术时间22～56 min，平均28．5 min。术中出血量5～8 ml，平均6．5 ml。在术后肠蠕动恢复时间、术后不良反应发生率、住院时间及住院费用方面，快速康复组均低于对照组，差异有统计学意义（P＜0．05）。所有患儿平均随访10个月（3～24个月），无脐疝及粘连性肠梗阻等并发症。结论快速康复外科应用于腹腔镜手术治疗小儿肠套叠是安全、可行的，具有康复快、创伤少等优点。
목적：탐토쾌속강복외과재복강경수술치료소인장투첩중적개치급안전성。방법선택아원2009년6월지2014년6월수치적소인급성장투첩78례，수궤분위쾌속강복조（39례）화대조조（39례）。비교량조적술후장연동회복시간、주원시간급주원비용，병관찰기록술후불량반응발생솔정황。결과소유환인균순리완성，무일례사망，무중전개복수술，술후무장루、복강농종급절구감염등병발증발생。수술시간22～56 min，평균28．5 min。술중출혈량5～8 ml，평균6．5 ml。재술후장연동회복시간、술후불량반응발생솔、주원시간급주원비용방면，쾌속강복조균저우대조조，차이유통계학의의（P＜0．05）。소유환인평균수방10개월（3～24개월），무제산급점련성장경조등병발증。결론쾌속강복외과응용우복강경수술치료소인장투첩시안전、가행적，구유강복쾌、창상소등우점。
Objective To explore the clinic value and safety of fast track surgery on laparoscopic reduction of introsusception for children.Methods Seventy eight children diagnosed intussusceptions during January 2009 and January 2014, were divided into fast track group (39 cases) and control group (39 cases) randomly.The intestinal function recovery, hospital stay, hospital cost and complications were recorded. Results The operation was completed in all the cases, none of them died or conversion to open surgery.The operation time was 22 to 56 minutes (28.5 minutes on average), the blood loss was 5 to 8ml (6.5ml on average) .There were no complications occurred.Compared with control group, fast track group had faster intestinal function recovery, shorter hospital stay and lower hospital cost.The differences were statistically significant (P<0.05).All patients were followed up for 10 months on average (3 to 24 months), no umbilical hernia and adhesive intestinal obstruction were observed.Conclusions Application of fast track surgery on laparoscopic reduction of introsusception is effective and safe for children.It has advantages of less injury and rapid recovery.