摘要
目的分析小儿先天性消化畸形临床特征,并探讨腹腔镜手术治疗的效果。方法回顾性分析2016年1月至2018年12月因先天性消化道畸形在丽水市中心医院就诊的98例患儿的临床特征资料,对比分析腹腔镜手术与开腹手术/腹腔镜转开腹手术治疗先天性肠旋转不良、先天性肥厚性幽门狭窄、先天性巨结肠的手术时间和术后恢复饮食时间及术后并发症的发生率。结果腹腔镜手术治疗先天性肠旋转不良、先天性巨结肠的平均手术时间均显著长于开腹手术/腹腔镜转开腹手术,差异均有统计学意义(t值分别为5.628、2.698,均P<0.05);腹腔镜手术治疗先天性肥厚性幽门狭窄的平均手术时间显著短于开腹手术,差异有统计学意义(t=3.652,P<0.05)。腹腔镜手术治疗先天性肠旋转不良、先天性肥厚性幽门狭窄、先天性巨结肠的术后恢复饮食平均时间均显著短于开腹手术,差异均有统计学意义(t值分别为6.032、7.862、5.864,均P<0.05);腹腔镜手术治疗先天性肠旋转不良、先天性肥厚性幽门狭窄、先天性巨结肠的术后并发症发生率均较开腹手术/腹腔镜转开腹手术低,差异均有统计学意义(χ^2值分别为11.000、9.000、37.000,均P<0.05)。结论腹腔镜手术在治疗部分先天性消化道畸形中具有一定的优势,但需结合临床实际情况。
Objective To analyze the clinical characteristics of congenital digestive malformation in children and explore its effect of laparoscopic surgery.Methods The clinical data of children with congenital gastrointestinal malformation treated in Central Hospital of Lishui from January 2016 to December 2018 were retrospectively collected.The operation time,postoperative diet recovery time and the incidence of postoperative complications of laparoscopic surgery and laparotomy or laparoscopic surgery converted to laparotomy in the treatment of congenital intestinal malrotation,congenital hypertrophic pyloric stenosis and congenital megacolon were compared and analyzed.Results The average operation time of laparoscopic surgery in the treatment of intestinal malrotation and congenital megacolon were significantly longer than that of laparotomy(t values were 5.628 and 2.698,respectively,both P<0.05).And the average operation time of laparoscopic treatment of congenital hypertrophic pyloric stenosis was significantly shorter than that of laparotomy(t=3.652,P<0.05).In addition,the average time of diet recovery after laparoscopic surgery for congenital intestinal malrotation,congenital hypertrophic pyloric stenosis and congenital megacolon were all significantly shorter than that after open surgery(t values were 6.032,7.862 and 5.864,respectively,all P<0.05).And the incidence of postoperative complications of laparoscopic surgery for congenital intestinal malrotation,congenital hypertrophic pyloric stenosis and congenital megacolon were significantly lower than that of laparotomy or laparoscopic surgery converted to laparotomy(χ^2values were 11.000,9.000 and 37.000,respectively,all P<0.05).Conclusion Laparoscopic surgery has certain advantages in the treatment of partial congenital digestive tract malformation,but it still needs to be combined with clinical practice.
作者
龚恩美
张恒
郑瑞
王羲勤
GONG Enmei;ZHANG Heng;ZHENG Rui;WANG Xiqin(Department of Pediatric Surgery,Central Hospital of Lishui,Zhejiang Lishui323000,China)
出处
《中国妇幼健康研究》
2019年第12期1587-1591,共5页
Chinese Journal of Woman and Child Health Research
关键词
小儿
先天性消化道畸形
临床特征
腹腔镜手术
children
congenital digestive tract malformation
clinical characteristics
laparoscopic surgery
