腹腔镜经脐单一部位幽门环肌切开术治疗小儿先天性肥厚性幽门狭窄的临床效果研究

目的研究腹腔镜经脐单一部位幽门环肌切开术治疗小儿先天性肥厚性幽门狭窄的临床效果。方法100例小儿先天性肥厚性幽门狭窄患儿作为研究对象,按照随机方式分为观察组和对照组,每组50例。对照组采用腹腔镜幽门环肌切开术治疗,观察组采用腹腔镜经脐单一部位幽门环肌切开术治疗。观察记录患儿的手术结果及随访结果,并比较两组患儿手术时间、术后住院时间。结果手术过程顺利,100例患儿均成功完成手术,无一例中转开腹手术,无并发症发生。观察组患儿术后6 h将胃管取下,少量喂入温水后逐渐过渡到喂糖水、喂奶;对照组患儿术后24 h开始逐渐进食。患儿术后进行6个月的延续性随访,观察组患儿切口恢复美观,已经无法观察到切口瘢痕,两组患儿的生长发育均显示正常状态。观察组患儿手术时间(21.23±1.65)min及术后住院时间(5.58±1.98)d均显著短于对照组的(38.44±1.23)min、(9.67±1.22)d,差异具有统计学意义(P<0.05)。结论先天性肥厚性幽门狭窄患儿采用腹腔镜经脐单一部位幽门环肌切开术治疗,手术效果良好,手术创伤小而且安全。

Clinical efficacy of laparoscopic transumbilical single-site pyloromyotomy in the treatment of congenital hypertrophic pyloric stenosis in children

Objective To investigate the clinical efficacy of laparoscopic transumbilical singlesite pyloromyotomy in the treatment of congenital hypertrophic pyloric stenosis in children.Methods 100 children with congenital hypertrophic pyloric stenosis were selected as study subjects,and randomly divided into observation group and control group,with 50 cases in each group.Children in the control group were treated with pyloromyotomy,and children in the observation group were treated with laparoscopic transumbilical singlesite pyloromyotomy.The surgery efficacy and follow-up results were collected and recorded,and the surgery time and postoperative hospital stay were compared between the two groups.Results The surgeries went well.All 100 children received successful surgery.No conversion to open surgery was required,and no complications occurred,either.In the observation group,6 h after the surgery,the gastric tube was removed,and a small amount of warm water was fed,and then gradually sugar water and milk were fed.24 h after the surgery,the children of the control group gradually began to have meals.The children were followed up for 6 months after the surgery.The incisions of the children of the observation group recovered well,and the incision scar disappeared.It showed the growth and development of the children of the two groups were in a normal state.The observation group had a surgery time of(21.23±1.65)min and a postoperative hospital stay of(5.58±1.98)d,which were significantly shorter than(38.44±1.23)min and(9.67±1.22)d of the control group,respectively;and the differences were statistically significant(P<0.05).Conclusion In the treatment of children with congenital hypertrophic pyloric stenosis,laparoscopic transumbilical single-site pyloromyotomy showed good surgical effects,small trauma and high safety.