腹腔镜手术治疗小儿先天性肥厚性幽门狭窄

Laparoscopic Surgery in the Treatment of Congenital Hypertrophic Pyloric Stenosis in Newborns

目的 探讨小儿先天性肥厚性幽门狭窄经腹腔镜手术治疗。 方法 本组 19例 ,具有典型呕吐病史 ,上腹部摸到肿块。均经钡餐X线检查和腹部B超检查确诊。气管插管全麻 ,CO2 气腹 ,腹部三点穿刺 ,腹腔镜下施行幽门肌切开术。 结果 全部手术成功 ,随访 3个月～ 2年 ,近远期效果良好。 结论 作者认为腹腔镜手术治疗小儿先天性肥厚性幽门狭窄是将内镜先进的技术运用于小儿腹部外科手术的一种新方法。具有创伤小 ,痛苦少 。

Objective To study the effect of laparoscopic surgery in the treatment of congenital hypertrophic pyloric stenosis (CHPS).[WT5”HZ] Methods [WT5”BZ]19 newborns with a typical vomiting history were diagnosed with the sign of a mass in the upper abdominal part and the findings of X-ray and B-ultrosonic. With laparoscopy, pylorotomy was performed with general anesthesia and the 3-point puncture in the abdominal cavity.[WT5”HZ] Results [WT5”BZ]All operations were successful with excellent recent and distant effects after a follow up of 3-12 months. [WT5”HZ]Conclusion[WT5”BZ] Laparoscopic surgery in the treatment of CHPS is a new method applying advanced endoscopic technology to pediatric surgery with an advantage of less trauma and pain and rapid recovery.