腹腔镜手术与开腹手术治疗小儿肠套叠的疗效对比研究

Comparative study of laparoscopic surgery and open surgery for pediatric intussusception

目的:对比研究腹腔镜手术与开腹手术治疗小儿肠套叠的临床疗效。方法:回顾分析2013年1月至2017年1月手术治疗的51例肠套叠患儿(<12岁)的临床资料,将其分为腹腔镜组与开腹组。对比研究两组患儿性别、年龄、手术指征、肠套叠类型、手术时间、术后进食时间、术后住院时间、术后复发率等临床指标。结果:21例患者施行腹腔镜手术(其中2例中转开腹,未纳入统计学分析),30例患者行开腹手术。两组患者在性别、年龄、手术指征、肠梗阻类型、手术复发率等方面差异无统计学意义。腹腔镜组手术时间明显长于开腹组(P<0.05);而术后进食时间、住院时间腹腔镜组明显短于开腹组(P<0.05)。结论:腹腔镜手术治疗小儿肠套叠创伤小,术后康复快,住院时间短,切口小且美观,可作为治疗小儿肠套叠的首选治疗方案。

Objective： This study was aimed to compare the clinical efficacy of laparoscopy and open surgery for intussusception in children. Methods： Clinical data of 51 children（ 〈12 years old） who underwent operation for intussusception between Jan. 2013 and Jan. 2017 were retrospectively analyzed. Patients were classified into two groups： the laparoscopy group and the open group. Patients＇ age,gender,operative indication,type of intussusception,operative time,postoperative fasting time,length of postoperative hospital stay,and recurrence rate were comparatively investigated. Results： Twenty-one patients received laparoscopic treatment（ two patients who were converted to open surgery were excluded in this study） and 30 patients received open surgery. No significant difference was found in gender,age,operative indication,type of intussusception and recurrence rate between both groups. The operative time of laparoscopy group was significantly longer than that of open group（ P〈0. 05）,however,the mean postoperative fasting time and length of postoperative hospital stay were significantly shorter than those of open group（ P〈0. 05）. Conclusions： Laparoscopy is associated with few trauma,quick recovery,short hospital stay,small and cosmetic incision,it should be considered as the primary treatment for intussusception in children.