迷你腹腔镜治疗小儿粘连性肠梗阻

Microlaparoscopic treatment of adhesive intestinal obstruction in children

目的评价迷你腹腔镜治疗小儿粘连性肠梗阻的临床意义。方法2001年3月至2004年1月,应用迷你腹腔镜行肠粘连松解术治疗粘连性肠梗阻18例,并对其临床资料进行分析。结果本组病例手术时间15～45(平均30)min;术后第1天下床活动;术后肛门排气时间12～28(平均22)h;术后第2天开始进食,3～5(平均4)d痊愈出院,均无并发症发生。随访3～18个月,全组术后恢复良好,均无复发。结论选择性地应用迷你腹腔镜,行肠粘连松解术治疗小儿粘连性肠梗阻,操作简单,疗效安全可靠。

Objective To evaluate the clinical significance of microlaparoscopic trentment for adhesive intestinal obstruction in children. Methods Adhesion lysis operation was performed in 18 patients with adhesive intestinal obstruction by microlaparoscope from March 2001 to January 2004. The clinical data were analyzed retrospectively. Results Micro laparoscope assisted accretion lysis operation was successfully performed in all patients. The operative time ranged from 15 min to 45 min (averaged 30 min),the aerofluxus time ranged from 12 hours to 28 hours(averaged 22 hours)after operation. All patients can take general activity at the first day and take in food at the second day after operation respectively. The hospital stay ranged from 3 to 5 days (averaged 4 days) without complications. All patients were followed up from 3 months to 18 months (averaged 6 months). All patients recovered well without occurrence of adhesive intestinal obstruction. Conclusions Micro laparoscope assisted adhesion lysis operation is a simple,safe,and feasible approach for adhesive intestinal obstruction in children.