腹腔镜微创手术治疗梅克尔憩室的临床效果观察

目的 观察腹腔镜微创术治疗梅克尔憩室的临床效果。方法 收集2013年1月~2018年4月经治的64例梅克尔憩室患儿作为观察对象，按随机数字表法分为实验组与对照组。对照组32例给予传统开腹手术治疗，实验组32例给予腹腔镜微创术治疗。比较两组治疗效果。结果 实验组术中出血量为（2.85±0.84）mL、住院天数为（4.80±1.23）d、住院费用为（1.90±0.24）万元，均明显少于对照组的（3.37±0.97）mL、（5.79±1.35）d、（2.25±0.30）万元（P<0.05）。实验组术后并发症发生率明显少于对照组（6.25%vs 25.00%，P<0.05）。结论 腹腔镜微创术治疗梅克尔憩室效果确切，且术后并发症少，有利于缩短住院时间，减少住院费用。

Clinical observation of laparoscopic minimally invasive surgery for Meckel's diverticulum

Objective To observe the clinical effect of laparoscopic minimally invasive surgery for Meckel''s diverticulum.Methods 64 children with Meckel''s diverticulum who were treated from January 2013 to May 2018 were enrolled as subjects.They were divided into experimental group and control group according to the random number table method.32 patients in the control group were treated with conventional open surgery,and 32 patients in the experimental group were treated with laparoscopic minimally invasive surgery.The effects between the two groups were compared.Results The intraoperative blood loss was(2.85±0.84)mL,the hospitalization days were(4.80±1.23)d,and the hospitalization expenses were(1.90±0.24)million in the experimental group,which were significantly less than(3.37±0.97)mL,(5.79±1.35)d,(2.25±0.30)million in the control group(P<0.05).The incidence of postoperative complications in the experimental group was significantly lower than that in the control group(6.25%vs 25.00%,P<0.05).Conclusion Laparoscopic minimally invasive surgery for Meckel''s diverticulum is effective and has fewer postoperative complications,which is beneficial to shorten hospital stay and reduce hospitalization costs.