CAJ | 학술논문

目的：比较经脐部正中横切口与传统经右上腹横切口治疗先天性肥厚性幽门狭窄的疗效。方法将先天性肥厚性幽门狭窄患儿38例，按照数字表法随机分为两组，研究组19例采用经脐部横切口，对照组19例采用经右上腹横切口，比较两种手术方法的疗效。结果研究组手术时间为（20．40±1．47）min，切口愈合时间为（5．53±0．51）d，均优于对照组的（24．00±1．36）min、（7．26±0．45）d（t＝7．835、11．090，均P＜0．05）；研究组切口瘢痕长度为（0．53±0．01）cm，明显短于对照组的（2．03±0．12）cm（t＝54．070，P＜0．05）；研究组进食时间、住院时间[（23．84±0．96）h、（9．37±0．83）d）]与对照组[（24．11±0．81）h、（9．42±0．84）d]差异均无统计学意义（t＝0．936、0．184，均P＞0．05）。术后随访6～8个月，对照组腹部可见明显手术切口瘢痕，而研究组无明显切口瘢痕，患儿均生长发育良好。结论经脐部横切口治疗先天性肥厚性幽门狭窄不延长手术时间，术后恢复快，患儿家长满意度高，适合于无条件开展腹腔镜手术的基层医院。
목적：비교경제부정중횡절구여전통경우상복횡절구치료선천성비후성유문협착적료효。방법장선천성비후성유문협착환인38례，안조수자표법수궤분위량조，연구조19례채용경제부횡절구，대조조19례채용경우상복횡절구，비교량충수술방법적료효。결과연구조수술시간위（20．40±1．47）min，절구유합시간위（5．53±0．51）d，균우우대조조적（24．00±1．36）min、（7．26±0．45）d（t＝7．835、11．090，균P＜0．05）；연구조절구반흔장도위（0．53±0．01）cm，명현단우대조조적（2．03±0．12）cm（t＝54．070，P＜0．05）；연구조진식시간、주원시간[（23．84±0．96）h、（9．37±0．83）d）]여대조조[（24．11±0．81）h、（9．42±0．84）d]차이균무통계학의의（t＝0．936、0．184，균P＞0．05）。술후수방6～8개월，대조조복부가견명현수술절구반흔，이연구조무명현절구반흔，환인균생장발육량호。결론경제부횡절구치료선천성비후성유문협착불연장수술시간，술후회복쾌，환인가장만의도고，괄합우무조건개전복강경수술적기층의원。
Objective To explore the clinical value via comparison of umbilical incision and traditional right upper quadrant abdominal transverse incision of congenital hypertrophic pyloric stenosis.Methods According to the digital table,38 children with congenital hypertrophic pyloric stenosis were divided into two groups,the study group (n=19)was given umbilical transverse incision,the control group(n=19)was given right upper quadrant abdominal transverse incision.The effect of the two groups were compared.Results In the study group,the operate time was (20.4 ±1.47)min,incision scar healing time was (5.53 ±0.51)d,which were significantly lower than (24.00 ± 1.36)min and (7.26 ±0.45)d of the control group(t=7.835,11.090,all P<0.05).The length of incision scar [(0.53 ±0.015)cm]was obvious shorter than that of the control group[(2.03 ±0.12)cm](t=54.070,P<0.05). The postoperative eating time[(23.84 ±0.96)h]and hospitalization time[(9.37 ±0.83)d]of the study group had no difference with the control group of[(24.11 ±0.81)h and (9.42 ±0.84)d](t=0.936,0.184,all P>0.05). Followed up for 6-8 months,all children had good growth and development,but abdominal scar was obvious in the control group,and the study group had no obvious scar.Conclusion Umbilical incision for the treatment of congenital hypertrophic pyloric stenosis does not prolong the operation time,and has rapid postoperative recovery and better beau-ty effective than the traditional operation,.It is suitable for primary hospitals with no condition to carry out laparoscop-ic operation.