摘要
目的总结腹腔镜手术治疗先天性肥厚性幽门狭窄(CHPS)的手术经验及技巧。方法本研究收集2015年3月至2017年3月在本院经腹腔镜行幽门环肌切开术治疗的26例先天性肥厚性幽门狭窄患儿为研究对象,其中男童21例,女童5例,年龄15～59 d,平均32 d;体重2. 5～4. 8 kg,平均3. 4 kg。结果 26例均顺利完成腹腔镜手术,无术中及术后并发症发生。手术时间30～55 min,平均38 min。术后8～12 h拔除胃管并开始喂糖水,2～3 d过渡到全奶喂养。术后住院时间3～7 d,平均4 d。26例术后全部以门诊方式随访1～2年,术前呕吐症状消失,无切口感染或戳孔疝发生,无生长发育迟滞,无肠黏连及肠梗阻等近、远期并发症发生。结论腹腔镜手术治疗先天性肥厚性幽门狭窄具有微创、安全有效、恢复快及并发症少等优点,值得临床推广运用。
Objective To summarize the surgical techniques of laparoscopic pyloromyotomy for congenital hypertrophic pyloric stenos is CHPS . Methods Retrospective analysis was performed for 26 CHPS infants undergoing laparoscopic pyloromyotomy from March 2015 to March 2015. There were 21 boys and 5 girls with an average age of 32 15 59 days and an average weight of 3. 4 2. 5 4. 8 kg. Results All operations were accomplished smoothly without intraoperative and postoperative complications. The average operative duration was 38 min. After removing gastric tube,glucose solution was 8 12 h postoperation,2 3 d transit to milk feeding 2 3 days after operation. The average duration of postoperative hospital stay was 4 3 7 days.During a followup period of 1 2 years,there was no onset of vomiting,incision infection,Trocar site hernia,growth retardation,intestinal adhesion / obstruction or other longterm complications. Conclusion Laparoscopicpyloromyotomy for CHPS is miniinvasive,safe and effective and offers a rapid recovery and fewer complications. It is worth clinical popularization.
作者
黄圣余
谢承
林立华
傅俊杰
张通福
Huang Shengyu;Xie Cheng;Lin Lihua;Fu Junjie;Zhang Tongfu(Department of General Surgery,Fuzhou ChildrensHospital of Fujian Province Fuzhou 350000 China)
出处
《临床小儿外科杂志》
CAS
2018年第8期611-614,共4页
Journal of Clinical Pediatric Surgery
关键词
幽门狭窄
肥厚性
先天性
腹腔镜
治疗
婴儿
Pyloric Stenosis
Hypertrophic / CN
Laparoscopes
Therapy
Infant
