腹腔镜下微创治疗小儿梅克尔憩室临床疗效观察

Clinical efficacy of laparoscopic minimally invasive treatment in children with Meckel's diverticulum

目的:观察腹腔镜下微创治疗小儿梅克尔憩室临床疗效。方法:选取2017年9月~2020年10月我院收治的86例梅克尔憩室患儿。根据手术方法不同分为观察组(腹腔镜下微创治疗)和对照组(传统开腹手术),每组各43例。比较两组患儿手术指标及并发症发生情况。结果:观察组患儿术中出血量、住院费用及住院时间明显优于对照组,但手术时间较对照组长(P<0.05);观察组患儿并发症总发生率显著低于对照组(6.97%vs 25.58%)(P<0.05)。结论:对梅克尔憩室患儿予以腹腔镜下微创治疗可减少术中出血量,缩短住院时间,降低住院费用,且术后并发症发生率低。

Objective:To observe the clinical efficacy of laparoscopic minimally invasive treatment in children with Meckel's diverticulum.Methods:From September 2017 to October 2020,86 children with Meckel's diverticulum admitted to our hospital were selected.According to different surgical methods,they were divided into observation group(laparoscopic minimally invasive treatment)and control group(traditional open surgery),with 43 cases in each group.The surgical indicators and the incidence of complications were compared between the two groups.Results:Intraoperative blood loss,hospitalization costs,and hospitalization time in the observation group were significantly better than those in the control group,but the operation time was longer than that in the control group(P<0.05).The total incidence of complications in the observation group was significantly lower than that in the control group(6.97%vs 25.58%)(P<0.05).Conclusion:Laparoscopic minimally invasive treatment for children with Meckel's diverticulum can reduce intraoperative blood loss,shorten hospitalization time,reduce hospitalization costs,and reduce postoperative complications.