腹腔镜治疗小儿先天性肥厚性幽门狭窄的临床疗效分析(1)
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[摘要] 目的：探讨腹腔镜治疗小儿先天性肥厚性幽门梗阻的临床疗效。方法：选取本院2005年7月～2010年12月收治的60例先天肥厚性幽门狭窄患儿的临床资料，随机分为治疗组(30例)和对照组(30例)，对照组患者采用传统的经脐入路开腹手术，治疗组患者采用腹腔镜幽门环肌切开术治疗，比较两组患者的手术时间、术中出血量以及术后并发症发生情况。结果：治疗组患者手术时间短，术中出血量少，术后并发症少与对照组患者比较差异有统计学意义(P<0.05)。结论：腹腔镜下幽门环肌切开治疗先天性肥厚性幽门狭窄，安全可靠，患儿痛苦小，疗效满意值得在临床推广。
[关键词] 幽门狭窄；肥厚性；先天性；腹腔镜；临床疗效
[中图分类号] R656.6+3 [文献标识码]A[文章编号]1674-4721(2011)04(b)-023-02
Clinical effect of laparoscopic on children with congenital hypertrophic pyloric stenosis
ZHAO Guojin, LI Xiaodong, WU Guoding
Department of Pediatric Surgery, Affiliated Xinhui Hospital of Nangfang MedicalUniversity, Guangdong Province, Jiangmen 529100, China
[Abstract] Objective: To investigate the laparoscopic in treating pediatric congenital idiopathic hypertrophic pyloric obstruction of the clinical curative effect. Methods: Selected 60 patients in our hospital, from July 2005 to December 2010 with congenital idiopathic hypertrophic pyloric stenosis of children′s clinical information, who were randomly divided into the treatment group (30 cases) and the control group (30 cases), the control group were treated by traditional open surgery by umbilical into the road, the treatment group were treated by laparoscopic pyloric ring muscle rhinotomy for treatment, compared with two sets of patients operative time, peri-operative bleeding and postoperative complications. Results: Treatment group patients short operative time, peri-operative bleeding and postoperative complications were less and less control patients comparative differences were statistically significant (P<0.05). Conclusion: Laparoscopic pyloric ring muscle incision treatment of congenital hypertrophic pyloric stenosis, safe and reliable, children pain is small, and the results are satisfactory, be worth in clinical promotion.
[Key words] Pyloric stenosis; Hypertrophy; Congenital; Laparoscopy; Clinical efficacy
先天性肥厚性幽门狭窄(congenitalhypertrophicpylorie stenosis，CHPS)是新生儿和婴儿常见的消化道畸形，CHPS是由于新生儿幽门肌层(尤其是环形肌)过度增生、肥厚导致幽门管狭窄的上消化道梗阻性疾病。本病主要需要手术治疗，传统手术方法是行经脐入路开腹手术，手术损伤比较大，随着腹腔镜技术在小儿外科的开展以及微型器械的不断完善[1]，目前大部分小儿腹部手术可以在腹腔镜下完成 ......
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