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| 腹腔镜与传统开放治疗小儿麦克尔憩室肠重复畸形的疗效对比 |
| Comparison of curative effect of laparoscopic and traditional open in treatment of intestinal repetitive malformation inpediatric Michael’s diverticulum |
| 投稿时间：2021-11-17 |
| DOI：10.3969/j.issn.1000-0399.2022.10.005 |
| 中文关键词: 小肠畸形 腹腔镜治疗 开腹治疗,传统 并发症 |
| 英文关键词: Small bowel malformation Laparoscopic treatment Traditional laparotomy Complications |
| 基金项目:梅州市医药卫生科研课题(项目编号:2019-B-27) |
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| 中文摘要: |
| 目的 比较腹腔镜与传统开放治疗小儿麦克尔憩室、肠重复畸形的疗效。方法 回顾分析2010年1月至2021年1月梅州市人民医院小儿外科诊治的56例小儿小肠畸形患儿的临床资料,以具体实施手术治疗方式分组,其中28例患儿为传统开放组,另28例患儿纳入腹腔镜组。对比两组患儿治疗疗效、围术期指标(术中出血量、手术时间、术后进食时间及住院时间)、并发症(肠梗阻、肠道粘连、切口愈合不良)发生情况。结果 腹腔镜组患儿手术时间少于对照组,腹腔镜术后进食时间早于传统开放组,差异均有统计学意义(P<0.05)。但两组患儿住院天数、术中出血量比较,差异无统计学意义(P>0.05)。术后腹腔镜组中性粒细胞数差值小于传统开放组,差异具有统计学意义(P<0.05)。腹腔镜组患儿术后并发症发生率低于传统开放组(7.14%比14.29%),组间比较差异无统计学意义(P>0.05)。结论 腹腔镜手术治疗小儿小肠畸形安全、可行,可减少手术时间,术后进食时间早,利于患儿术后快速康复。 |
| 英文摘要: |
| Objective To compare the curative effect of laparoscopic and traditional open in the treatment of intestinal repetitive malformationin pediatric Michael’s diverticulum.Methods The clinical data of 56 children with small bowel malformation diagnosed and treated in Pediatric Surgery Department of Meizhou People’s Hospital from January 2010 to January 2021 were reviewed and analyzed.They were divided by specific surgical treatment methods, among which 28 children treated by traditional open surgery were in the traditional open group, and 28 children treated by laparoscopic surgery were in the laparoscopic group.The treatment efficacy, perioperative indicators (intraoperative bleeding volume, operation time, postoperative feeding time and hospitalization time), and complications (intestinal obstruction, intestinal adhesion, poor incision healing) were compared between the two groups.Results The operation time of the laparoscopic group of children was less than that of the control group, and the feeding time after traditional laparoscopy was earlier than that of the traditional open group; the differences both had statistical significance (P<0.05). But the hospitalization days and the bleeding volume between the two groups had no statistically significant difference (P>0.05). The difference in neutrophil number in the laparoscopic group was smaller than that in the traditional open group, and the difference was statistically significant(P<0.05). The incidence of post operative complications in the laparoscopic group was lower than that in the traditional open group (7.14% vs 14.29%), and there was nosignificant differences between the groups (P>0.05). Conclusions Laparoscopic treatment of pediatric intestinal malformation is safe, feasible, with reduced operation time, early postoperative feeding timeand rapid postoperative recovery, thus it is worth clinical promotion. |
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