腹腔镜在小儿肠套叠手术中的应用.docVIP

精品论文 参考文献 腹腔镜在小儿肠套叠手术中的应用 王军 　　[摘 要]目的：分析小儿肠套叠腹腔镜治疗的疗效。以便为此类患儿的临床治疗提供参考依据。方法：选择我院2009年7月—2013年7月所收治的92例肠道叠患儿作为研究对象，利用随机分层法将其均分成对照组与观察组，对照组的患儿采用传统开腹手术来进行治疗，观察组患儿采用腹腔镜下肠套叠复位手术或空气灌肠肠套叠整复术治疗，比较两组患儿的住院时间、术后肠道通气时间、术中出血量、手术时间以及并发症发生率。结果：所有患儿均完成了为期1—6个月的随访，两组患儿的手术时间存在一定的差异，具有可比性，但不具备统计学意义，Pgt;0.05；两组患儿的住院时间、术后肠道通气时间、术中出血量、手术时间以及并发症发生率存在明显差异，具有统计学意义，Rho;＜0.05。结论： 在对小儿行肠套叠手术治疗时，腹腔镜下肠套叠复位手术或空气灌肠肠套叠整复术不仅可以提高患儿的治疗效果，而且还可以降低其复发率，其临床应用价值较高，因此，在对小儿行肠套叠治疗时，可以对本研究中观察组的治疗方式大力推广并普及使用。 　　[关键词]肠套叠 开腹手术 复发 腹腔镜手术 　　The Application of Intussusception in Pediatric Laparoscopic Surgery 　　Wang Jun 　　Abstract: Objective To analyze the effect of laparoscopic surgery in curing intussusception of children. Methods 92 cases of children with intestinal stack from July 2009 to July 2013 in the authorrsquo;s hospital were randomly divided into the control group and the observation group. The control group were treated with traditional laparotomy, while the observation group were treated with laparoscopic surgery or air enema intussusception surgery. Childrenrsquo;s hospital stay, postoperative intestinal ventilation time, blood loss, operative time, and complication rate were compared between the two groups. Results All patients completed the follow-up period of 1-6 months. There are differences in operative time between the two groups, which is comparable , but not of statistical significance, Pgt; 0.05; the hospitalized time, postoperative intestinal ventilation time, blood loss, operative time, and complication rate in the two groups are significantly different, with statistical significance, Rho; lt;0.05. Conclusions In the surgical treatment of pediatric intussusception, the laparoscopic surgery or air enema intussusception reposition can improve the therapeutic effect, and reduce the recurrence rate. Therefore, the application of it can be promote in pediatric intussusception treatment . 　　Key words: intussusception; laparotomy; recurrence; laparoscopic surgery 　　 急性肠套叠是一种较为常见的临床急腹