腹腔镜经脐部切口治疗与传统开腹手术治疗小儿先天性肠闭锁的疗效与安全性

Efficacy and Safety of Laparoscopic Transumbilical Incision and Traditional Laparotomy in the Treatment of Children with Congenital Intestinal Atresia

目的探究小儿先天性肠闭锁给予腹腔镜经脐部切口治疗与传统开腹手术治疗的疗效与安全性。方法选取2018年1月—2021年3月该院治疗的先天性肠闭锁患儿42例作为研究对象,按照随机数字表法分成观察组(n=21)和对照组(n=21),对照组给予传统开腹手术治疗,观察组给予腹腔镜经脐部切口治疗,比较两组患儿临床疗效、手术相关指标及并发症。结果观察组治疗总有效率95.24%,较对照组明显更高,差异有统计学意义(χ^(2)=4.286,P<0.05);观察组手术时间(2.55±0.64)h、术后进食时间(4.05±1.12)d、住院时间(12.14±3.05)d,明显短于对照组,差异有统计学意义(t=2.801、3.825、2.831,P<0.05),出血量(8.33±3.62)mL明显少于对照组,差异有统计学意义(t=14.203,P<0.05);观察组吻合口瘘、切口感染、尿潴留、腹腔脓肿并发症发生率为9.52%,较对照组明显更低,差异有统计学意义(χ^(2)=6.035,P<0.05)。结论小儿先天性肠闭锁给予腹腔镜经脐部切口治疗的疗效及安全性更高,能够有效缩短病程,促进患儿早日恢复。

Objective To explore the efficacy and safety of laparoscopic transumbilical incision and traditional laparotomy in the treatment of congenital intestinal atresia in children.Methods A total of 42 children with congenital intestinal atresia who were treated in the hospital from January 2018 to March 2021 were selected as the research objects,and divided into an observation group(n=21)and a control group(n=21)according to the random number table method.The control group was given traditional laparotomy,and the observation group was given laparoscopic transumbilical incision.The clinical efficacy,surgery-related indicators and complications were compared between the two groups.Results The total effective rate of the observation group was 95.24%,which was significantly higher than that of the control group,and the difference was statistically significant(χ^(2)=4.286,P<0.05);the operation time(2.55±0.64)h,postoperative eating time(4.05±1.12)d,and hospitalization time(12.14±3.05)d in the observation group were significantly shorter than those in the control group,and the differences were statistically significant(t=2.801,3.825,2.831,P<0.05),the bleeding volume(8.33±3.62)mL was significantly less than that of the control group,and the difference was statistically significant(t=14.203,P<0.05);the incidence of complications such as anastomotic leakage,incision infection,urinary retention,and abdominal abscess in the observation group was 9.52%,which was significantly lower than that in the control group,and the difference was statistically significant(χ^(2)=6.035,P<0.05).Conclusion The efficacy and safety of laparoscopic transumbilical incision for the treatment of congenital intestinal atresia in children is higher,which can effectively shorten the course of the disease and promote the early recovery of children.