腹腔镜诊治小儿小肠出血的临床价值

目的:探讨腹腔镜诊断和治疗小儿小肠出血的临床价值。方法:对消化道反复出血的40例患儿先行纤维胃镜、纤维结肠镜检及B超检查未发现阳性病变,然后用腹腔镜探查。结果:33例为美克尔憩室,4例为肠重复畸形,1例为空肠肿瘤,2例阴性。阳性患者均同时行病变肠管切除术,患者术后均恢复顺利,随访4个月-3年,1例术中未发现病变的患儿半年后再次出现便血,经保守治疗出血停止,其余患儿均未再便血。结论:腹腔镜可广泛用于诊断和治疗小儿消化道出血。

Clinic value of laparoscopy in diagnosis and treatment of children's enterorrhagia

Objective:To discuss the clinic value of laparoscopy in diagnosis and treatment of children's enteror-rhagia. Methods: Lapqroscopy was used to explore 40 children who had repeated enterorrhagia and had no positive results by gastroscopy, colonoscopy, ultrasonography. Results: 33 patients was found Meckel's diverticulum,4 patients was discovered duplication of the alimentary tract, 1 had jejunal tumor, and 2 patients had found nothing. Positive patients were administered abnormal intestines resection. All patients recovered successfully. In the follow-up period(4 monthes to 3 years) ,only one child who had found nothing in operation had bleeding in half a year and was cured by medical therapy, the others never had bleeding in their stool. Conclusions: Laparoscopy can be used abroadly in the diagnosis and treatment of children' s enterorrhagia.