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腹腔镜在儿童下消化道出血诊治中的价值
引用本文:高群,黄河,吕成超. 腹腔镜在儿童下消化道出血诊治中的价值[J]. 皖南医学院学报, 2010, 29(4): 277-278
作者姓名:高群  黄河  吕成超
作者单位:安徽省立儿童医院,儿外科,安徽,合肥,230051
摘    要:目的:探讨腹腔镜在儿童下消化道出血诊断及治疗中的价值。方法:对我院2004年4月~2008年12月收治25例反复便血患儿均行腹腔镜诊治。结果:22例有先天性畸形,3例未见器质性病变,分别行憩室锲行切除术13例,病变肠管切除术7例,肠重复畸形囊肿剥离2例,术后4~5d出院,随访无并发症发生,疗效满意。结论:腹腔镜对儿童下消化道出血具有较高诊治价值,尤其适用于3岁以下反复便血或伴有严重贫血患儿。

关 键 词:下消化道出血  儿童  腹腔镜

Laparoscopy in diagnosis and treatment of lower gastrointestinal tract hemorrhage in children
GAO Qun,HUANG He,LU Cheng-chao. Laparoscopy in diagnosis and treatment of lower gastrointestinal tract hemorrhage in children[J]. Acta Academiae Medicinae Wannan, 2010, 29(4): 277-278
Authors:GAO Qun  HUANG He  LU Cheng-chao
Affiliation:GAO Qun,HUANG He,LU Cheng-chao Department of Pediatric Surgery,Anhui Provincial Children's Hospital,Hefei 230051,China
Abstract:Objective:To explore the clinical value of laparoscopy in the diagnosis and treatment o f lower gastrointestinal hemorrhage in children. Methods:Twenty-five children with history of recurrent hemafecia or melena underwent laparoscopic diagnosis and treatment in our hospital between Apr. 2004 and Dec. 2008. Results:Of the 25 patients,22 were found congenital disorder in lower gastrointestinal tract but 3 were absent of any pathologic changes. Thirteen received Meckel's diverticulectomy,7 underwent resection of the diseased bowel and 3,separation of the intestinal duplication. The total patients were discharged 4 to 5 days after the procedure and followed-up. No complications occurred and the therapy was satisfactory. Conclusion:Laparoscopy is of highly valuable in the diagnosis and treatment of lower gastrointestinal hemorrhage in children,especially in children under 3 with recurrent hemafecia or severe anemia.
Keywords:lower gastrointestinal hemorrhage  children  laparoscopy
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