腹腔镜在小儿美克尔憩室切除术中的应用

Clinical Analysis of Laparoscopy-Assisted Resection for Meckel's Diverticulum in Children

目的总结腹腔镜对小儿美克尔憩室的临床诊断和应用价值。方法 2005年4月2009年12月,将41例行美克尔憩室切除术患儿随机分为两孔法腹腔镜手术组和传统手术组,就手术治疗、术后并发症、术后效果等临床资料进行对比分析。结果腹腔镜手术组患儿手术时间、术中出血量、下床活动时间、住院时间等均优于传统手术组;术后并发症发生例数均明显少于传统手术组。结论腹腔镜对患儿美克尔憩室的诊断和治疗具有明显优越性,可作为小儿美克尔憩室治疗的首选方式。

Objective To investigate the diagnostic and applicative value of laparoscopy for Meckel’s diverticulum in children.Methods The clinical data of 41 children with Meckel’s diverticulum who underwent resection between April 2005 to December 2009 were retrospectively analyzed.The patients were divided into tow-port laparoscopy-assisted resection group（group A,19 patients） and traditional resection group（group B,22 patients）.The intra-operative accidental injury,postoperative complications,postoperative general condition and prognosis were evaluated via randomized contrast analysis.Results The time of operation,amount of bleeding,recover intestinal peristalsis,out-of-bed activities time and the average days in hospital in group A were less than those in group B.The postoperative complications occurred in one and eight patients in group A and B respectively.Conclusion Laparoscopy had obvious superiority for the children’s Meckel’ s diverticulum in diagnosis and treatment,which should be the best choice.