摘要
目的总结腹腔镜手术治疗空气灌肠复位失败小儿肠套叠的经验。方法回顾性分析2018年6月-2019年3月江苏省苏北人民医院收治10例难复性小儿肠套叠患者的临床资料,探讨腹腔镜手术治疗空气灌肠复位失败难复性小儿肠套叠的可行性。结果10例空气灌肠复位失败小儿肠套叠均行腹腔镜下肠套叠复位术,9例在腔镜下复位成功,1例因合并小肠息肉致回肠-回肠-结肠型肠套叠复位失败、另1例扩大脐部切口切除憩室肠修补。结论腹腔镜下小儿肠套叠复位手术安全可靠,同时具有腹腔镜微创外科手术的优点。
Objective To summarize the experience of laparoscopic surgery in the treatment of intussusception in children with failure of air enema reduction.Methods The clinical data of 10 pediatric intussusception patients admitted to Northern Jiangsu People's Hospital from June 2018 to March 2019 were retrospectively analyzed,and the feasibility of laparoscopic surgery for pediatric intussusception after failure of air enema reduction was discussed.Results All the 10 cases of intussusception failed to be reduced by air enema were treated with laparoscopic intussusception reduction.Nine cases were successfully reduced by endoscopic intussusception,one case failed to be reduced by recurrent knot intussusception due to intestinal polyps,and the other case was repaired by expanding umbilical incision to remove diverticulum.Conclusion Laparoscopic reduction of intussusception in children is safe and reliable,and has the advantages of laparoscopic minimally invasive surgery.
作者
王绘楠
李东升
汤劲松
WANG Hui-nan;LI Dong-sheng;TANG Jing-song(Department of Hernia and Pediatric Surgery,Northern Jiangsu People's Hospital(Affiliated Hospital to Yangzhou University of Clinical Medical School),Yangzhou Jiangsu 225001,China)
出处
《中华养生保健》
2023年第11期170-173,共4页
CHINESE HEALTH CARE
基金
江苏省苏北人民医院新技术项目(fcjs201721)。
关键词
小儿肠套叠
腹腔镜
微创外科
infantile intussusception
laparoscope
minimally invasive surgery
