腹腔镜下新生儿腹部囊肿的手术治疗效果分析

Surgical treatment of abdominal cysts in neonates under laparoscope

目的:探究腹腔镜下手术治疗新生儿腹部囊肿的临床效果。方法:选取2016年1月至2017年6月本院收治的70例新生儿腹部囊肿患儿作为本次研究对象。根据囊肿种类不同分为卵巢囊肿(A组)、肠重复畸形(B组)、肠系膜囊肿(C组),其中A组、B组、C组患儿人数分别为43例、15例、12例。之后根据随机数字表法随机将三组进一步分为对照组和观察组,分别为对照A组(21例)、观察A组(22例)、对照B组(8例)、观察B组(7例)、对照C组(6例)、观察C组(6例)。对照组患儿实施开腹手术治疗,观察组实施腹腔镜手术治疗,比较两组患儿手术时间、住院时间、恢复进食时间、术中出血量及术后并发症情况。结果:观察A组患儿的手术时间、住院时间、恢复进食时间及术中出血量明显少于对照A组患儿,差异有统计学意义(P<0.001,P<0.001,P=0.017,P<0.001);观察B组患儿的手术时间、住院时间、恢复进食时间及术中出血量明显少于对照B组患儿,差异有统计学意义(P=0.005,P<0.001,P<0.001,P=0.014);观察C组患儿的手术时间及恢复进食时间明显少于对照C组患儿,差异有统计学意义(P=0.009,P=0.002);观察组患儿术后并发症发生率(5.71%)低于对照组(22.86%),差异有统计学意义(P=0.040)。结论:腹腔镜下手术治疗新生儿腹部囊肿具有较好的临床效果,能够帮助患儿更好恢复,且并发症较少。

Objective:To explore the clinical effect of laparoscopic surgery in the treatment of neonatal abdominal cyst.Methods:From January 2016 to June 2017,70 neonates with abdominal cyst were selected.According to the types of cysts,they were divided into three groups:Ovarian cyst(group A),intestinal duplication(group B)and mesenteric cyst(group C).There were 43 cases in group A,15 cases in group B and 12 cases in group C.The three groups were randomly divided into control group A(n=21),observation group A(n=22),control group B(n=8),observation group B(n=7),control group C(n=6)and observation group C(n=6)according to random digital table method.The patients in the control group were treated with open surgery,and the patients in the observation group were treated with laparoscopic surgery.The operative time,hospitalization time,recovery eating time,intraoperative bleeding volume and postoperative complications were compared between the two groups.Results:The operative time,hospitalization time,recovery eating time and intraoperative bleeding volume in observation group A were significantly less than those in control group A,and the difference was statistically significant(P<0.001,P<0.001,P=0.017,P<0.001).The operative time,hospitalization time,recovery eating time and intraoperative bleeding volume in observation group B were significantly less than those in control group B,and the difference was statistically significant(P=0.005,P<0.001,P<0.001,P=0.014).The time of operation and recovery eating time in observation group C was significantly shorter than that in control group C,and the difference was statistically significant(P=0.009,P=0.002).The incidence of postoperative complications in observation group(5.71%)was lower than that of the control group( 22. 86%),and the difference was statistically significant( P = 0. 040). Conclusion: Laparoscopic surgery for the treatment of newborn abdominal cysts has a good clinical effect,which can help children recover better and have fewer complications.