对比小儿肠套叠的开腹手术与腹腔镜手术治疗的临床研究

Comparative analysis of open surgery and laparoscopic surgery in the treatment of pediatric intussusception

目的对比小儿肠套叠的开腹手术与腹腔镜手术治疗的临床价值。方法选定本院2017年1月—2020年1月收治的50例肠套叠患者,以双盲随机抽样法分组(每组样本容量25例),对照组采纳开腹手术治疗,观察组采纳腹腔镜手术治疗,对比两组手术指标、术中合并疾病探查率、并发症发生率、复套率。结果观察组手术时间、下床活动时间、胃肠功能恢复时间及住院时间均比对照组短,观察组术中出血量比对照组低,观察组术中合并疾病探查率(68.00%)比对照组(40.00%)高,观察组并发症发生率(0)比对照组(32.00%)低,差异均有统计学意义(P<0.05)。观察组复套率(0)与对照组(4.00%)比较,P>0.05。结论腹腔镜手术治疗小儿肠套叠,创伤性较小、住院时间较短、术后炎症反应较轻、并发症发生率较低,且术中对合并疾病的探查率较高,值得借鉴。

Objective To compare the clinical value of laparotomy and laparoscopy in the treatment of intussusception in children.Methods 50 cases of intussusception patients in our hospital from January 2017 to January 2020 were selected and divided into two groups by double-blind random sampling method(25 cases in each group).The control group was treated with open surgery,and the observation group was treated with laparoscopic surgery.The operation indexes,intraoperative detection rate of combined diseases,incidence of complications and recurrence rate were compared between the two groups.Results The operation time,ambulation time,gastrointestinal function recovery time and hospitalization time in the observation group were shorter than those in the control group.The intraoperative blood loss in the observation group was lower than that in the control group.The detection rate of intraoperative diseases in the control group(68.00%)was higher than that in the observation group(40.00%),and the incidence of complications in the observation group(0)was lower than that in the control group 32.00%.The difference was statistically significant(P<0.05).The repetition rate of observation group(0)was higher than that of control group(4.00%),P>0.05.Conclusion Laparoscopic surgery in the treatment of pediatric intussusception has the advantages of less trauma,shorter hospitalization time,less postoperative inflammatory reaction,lower incidence of complications,and higher exploration rate of complications during operation,which is worthy of reference.