小儿腹腔镜在先天性肠闭锁治疗中的应用

Application of Laparoscopy in the Treatment of Congenital Intestinal Atresia in Children

目的探讨小儿腹腔镜在先天性肠闭锁治疗中的应用价值。方法选取2014年7月—2017年12月确诊的38例患有先天性肠闭锁的小儿作为研究对象,随机分为两组,其中观察组20例,对照组18例,对照组经由传统开腹手术进行治疗,观察组采用小儿腹腔镜辅助手术进行治疗,观察并分析两组患儿的术中出血量、住院时间以及并发症的发生率。结果与对照组相比,观察组患儿术中出血量明显减少,住院时间显著降低,并发症发病率显著较低,差异有统计学意义(P<0.05)。结论小儿腹腔镜在治疗先天性肠闭锁中具有较好的临床疗效,值得在临床推广。

Objective To explore the application value of laparoscopy in the treatment of congenital intestinal atresia in children.Methods 38 children with congenital intestinal atresia diagnosed in our hospital from July 2014 to December 2017 were randomly divided into two groups,including 20 in the observation group and 18 in the control group.Patients in the control group were treated with conventional open surgery,while those in the observation group were treated with laparoscopy-assisted surgery.The two groups were compared in terms of intraoperative blood loss,hospitalization time and incidence of complications.Results Compared with the control group,the intraoperative blood loss and the hospitalization time were significantly reduced and shortened in the observation group and the incidence of complications was significantly lower(P<0.05).Conclusion Laparoscopy has a good clinical effect in the treatment of congenital intestinal atresiain children,so it is worthy of clinical promotion.