腹腔镜手术治疗小儿消化道畸形的应用价值探讨

Application Value of Laparoscopic Surgery for Children with Digestive Tract Malformation

目的探讨腹腔镜手术在治疗小儿消化道畸形中的临床应用价值。方法将110例小儿消化道畸形患者按数字随机表法分为两组,观察组55例行腹腔镜微创手术,对照组55例行传统开腹手术,比较两组手术时间、住院时间和术后并发症。结果观察组十二指肠梗阻、肠重复畸形、胆道发育畸形、先天性巨结肠等小儿消化道畸形的手术时间及住院时间均要明显短于对照组,组间比较差异具有统计学意义(P<0.05);观察组患者术后均未出现并发症,对照组中出现了2例伤口感染和1例腹腔脓肿,组间比较差异具有统计学意义(P<0.05)。结论腹腔镜微创手术能有效的缩短手术和住院时间,降低手术风险,减少并发症,具有较好的临床应用价值。

Objective To discuss the application value of laparoscopic surgery for children with digestive tract malformation. Methods 110 children with digestive tract malformation were randomly divided into 2 groups： observation group and control group, 55 in each; laparoscopic minimally invasive operation was performed on children in observation group while traditional laparotomy was performed on children in control group; the operating time, hospitalization duration and the occurrence of complications after operation of the children in the 2 groups were compared. Results The operating time and the hospitalization duration of the children with duodenal obstruction, intestinal duplication malformation, biliary development malformation and congenital megacolon in observation group were much shorter than those in control group, the difference was of statistical significance（P〈0.05）; no complications after operation occurred in observation group while 2 children were complicated with incision infection and 1 with abdominal abscess in control group,the difference between the 2 groups was of statistical significance（P〈0.05）. Conclusions Laparoscopic minimally invasive operation can effectively shorten the operating time and the hospitalization duration, reduce the risk of surgery and decrease the occurrence of complication, it is of better clinical application value.