摘要
目的探讨经胸腔镜手术治疗新生儿、小婴儿先天性膈疝的手术技巧及疗效。方法回顾分析2010年10月至2011年6,q采用经胸腔镜手术修补治疗9例先天性膈疝病例，其中男8例，女1例，年龄1～23d8例，3个月1例，病变均位于左侧，术前均经摄胸部X线片获得诊断，采用3孔法实施手术，还纳疝内容后，间断缝合修补膈肌缺损或行膈肌折叠完成手术。结果9例患儿中有疝囊6例，无疝囊3例，术毕留置胸腔负压引流4例，未引流5例，手术时间52～121min，手术出血量5～10ml，3例患儿肺脏发育不良，所有患儿均在腔镜下顺利完成手术，术前症状完全消失，痊愈出院。术后随访1～7个月，无复发，仅1例术后3个月复诊发现修补膈面内侧上抬1个肋间，生长发育良好。结论经胸腔镜手术治疗先天性膈疝术野显露清楚、操作方便，损伤小、切口美观，近期疗效满意，远期效果需进一步随访。
Objective To study the feasibility of thoracoscopic repair of congenital diaphragmat- ic hernia （CDH）in neonates and infants. Methods Eight neonates agedlto 3 days and one infant aged3 months （seven males and onefemale）, underwent thoracoscopic repair of CDHunder general anesthesia with endotracheal intubatiora The diagnosis was made based onchest radiograph. The herniatd contentswere reduced and the hernia defect was repaired using interrupted sutures via three-port method. Results Thoracoscopicrepair were completed without intra-operative and post-operative complication in all patients. The operative time ranged from 52-121 minutes. There was minimal amount of bleeding（5-10mls）. No recurrence was detected during follow-up. Conclusions Thoracoscopie repair ofcongenital diaphragmatic herniais asafe and effectiveapproach,This approach has the advantages ofreduced trauma and physiological disturbance of surgery, excellent visualisation and improved cosmesls.
出处
《中华小儿外科杂志》
CSCD
北大核心
2012年第5期340-343,共4页
Chinese Journal of Pediatric Surgery
关键词
疝
横膈
外科手术
胸腔镜
新生儿
Hernia, diaphragmatic
Surgical procedures, thoracoscopic
Neonate
