CAJ | 학술논문

目的：探讨腹腔镜技术在小儿腹部疾病诊治中的可行性及临床疗效。方法：回顾性分析本院2013年1月-2015年1月行腹腔镜技术诊治的194例患儿的临床资料。结果：2013年1月-2015年1月，本院小儿外科进行了包括腹腔镜下阑尾切除（63例）、疝囊高位结扎术（120例）、美克尔憩室切除（2例）、粘连性肠梗阻松解术（2例）、十二指肠穿孔修补（1例）、肠套叠松解（1例）、腹腔探查（1例）、肠系膜囊肿摘除（1例）、脾切除（1例）、性腺探查（1例）、肠重复畸形手术（1例）等术式。除1例外伤患儿经腹腔镜探查后中转开腹外，其余193例患儿均接受了腹腔镜的治疗技术，临床效果满意；并发症包括1例皮下气肿、1例阑尾切除术后单个戳孔感染、1例合并斜疝的急性阑尾炎患儿术后斜疝侧阴囊红肿，这些并发症均经保守治疗治愈；无严重并发症发生。结论：腹腔镜技术在小儿腹部疾病诊治中安全、可行，并具有微创、恢复快、痛苦小等优点，需根据医院设备条件及科室的技术水平适时开展。
목적：탐토복강경기술재소인복부질병진치중적가행성급림상료효。방법：회고성분석본원2013년1월-2015년1월행복강경기술진치적194례환인적림상자료。결과：2013년1월-2015년1월，본원소인외과진행료포괄복강경하란미절제（63례）、산낭고위결찰술（120례）、미극이게실절제（2례）、점련성장경조송해술（2례）、십이지장천공수보（1례）、장투첩송해（1례）、복강탐사（1례）、장계막낭종적제（1례）、비절제（1례）、성선탐사（1례）、장중복기형수술（1례）등술식。제1예외상환인경복강경탐사후중전개복외，기여193례환인균접수료복강경적치료기술，림상효과만의；병발증포괄1례피하기종、1례란미절제술후단개착공감염、1례합병사산적급성란미염환인술후사산측음낭홍종，저사병발증균경보수치료치유；무엄중병발증발생。결론：복강경기술재소인복부질병진치중안전、가행，병구유미창、회복쾌、통고소등우점，수근거의원설비조건급과실적기술수평괄시개전。
Objective:To investigate the feasibility and clinical curative effect of laparoscopic techniques in the diagnosis and treatment of pediatric abdominal disease.Method:The clinical data of One-hundred and ninty-four children with pediatric abdominal disease for laparoscopic techniques in our hospital from January 2013 to January 2015 were retrospective analyzed.Result:A total number of 194 cases suffering pediatric abdominal disease were given laparoscopic procedure in the above time,including laparoscopic appendectomy(63 cases),laparoscopic hernia sac high ligation (120 cases),laparoscopic Meckel’s diverticulum excision(2 cases),laparoscopic intestinal adhesion lysis(2 cases), laparoscopic duodenal perforation neoplasty(1 case),laparoscopic intussusception lysis(1 case),laparoscopic abdominal exploration(1 case),laparoscopic mesenteric cyst excision(1 case),laparoscopic splenectomy(1 case), laparoscopic gonadal exploration(1 case),laparoscopic intestinal duplication deformity surgery(1 case),etc.193 cases received laparoscopic treatment techniques successfully except that one trauma patient received conversion to laparotomy after laparoscopic abdominal exploration.The clinical effect was satisfactory because no serious complications occurred. The complications included 1 case of subcutaneous emphysema,1 case of a single incision infection after appendectomy, 1 case of acute appendicitis with indirect hernia lateral scrotal swelling after appendectomy,these complications were cured by conservative treatment.Conclusion:Laparoscopy techniques are safe,feasible in the diagnosis and treatment of pediatric abdominal disease.Its advantages include minimally invasive,quick recovery,less pain,etc.Laparoscopic technology needs timely to be carried out according to the hospital equipment conditions and the technical level of laparoscopy.