摘要
目的:探讨小儿腹腔镜下幽门环肌切开术(LP)与经右上腹小切口幽门环肌切开术(OP)在治疗先天性肥厚性幽门狭窄中的疗效及优缺点。方法:85例病人中LP组35例,OP组50例,比较2组病人术中、术后及相关并发症的情况。结果:LP组手术时间、术中出血和住院时间上均明显低于OP组(P <0. 01),2组伤口延迟愈合差异无统计学意义(P> 0. 05)。结论:LP治疗先天性肥厚性幽门狭窄切口小、损伤小、出血少、康复快,手术时间及住院时间明显缩短,安全、有效,并发症少,值得临床推广。
Objective: To research the efficacy and advantage of laparoscopic pyloromyotomy( LP) and open right upper quadrant small incision pyloromyotomy( OP) for the treatment of congenital hypertrophic pyloric stenosis. Methods: Eighty-five patients with congenital hypertrophic pyloric stenosis were divided into LP group( 35 cases) and OP group( 50 cases). The perioperative,postoperative,and related complications between two groups were compared. Results: The operation time,blood loss during operation and hospitalization time in LP group were obviously lower than those in OP group( P < 0. 01). The difference of delayed wound healing in two groups was not statistically significant( P > 0. 05). Conclusions: LP is safe,effective and feasible for hypertrophic pyloric stenosis with mini-invasion,little injury,little blood loss,quick recovery,short operation time and hospitalization time,which is worthy of clinical promotion.
引文
[1]王炜林,张宜兵,尙克磊,等.腹腔镜手术治疗先天性肥厚性幽门狭窄46例[J].安徽医学,2016,37(4):463.
[2]王大斌,唐晓冰.先天性肥厚性幽门狭窄[J].中国实用乡村医生杂志,2015,22(11):16.
[3]王留伟.腹腔镜与开腹手术治疗粘连性肠梗阻的疗效对比[J].黑龙江医药,2017,30(5):1108.
[4]蔡本龙,张又祥.先天性肥厚性幽门狭窄手术方式研究进展[J].国际儿科学杂志,2016,43(3):201.
[5]程明,樊剑锋,王达丰.腹腔镜下幽门肌切开术治疗的临床分析[J/CD].中华腔镜外科杂志(电子版),2014,7(5):51.
[6]李万福,马柱,李朝旺,等.腹腔镜幽门环肌切开术与开腹手术治疗先天性肥厚性幽门狭窄有效性和安全性分析[J].中华实用儿科临床杂志,2013,28(18):1433.
[7]杜俊鹏.腹腔镜与经脐部弧形切口治疗幽门肥厚性狭窄37例[J].中国实用医刊,2016,43(20):98.