摘要
目的总结腹腔镜下幽门环形肌切开术治疗小儿先天性肥厚性幽门狭窄(congenital hypertrophic py-loric stenosis,CHPS)的临床经验。方法回顾分析2010年1月—2013年3月腹腔镜下幽门环形肌切开术治疗32例先天性肥厚性幽门狭窄的临床资料。其中男性26例,女性6例;发病年龄19～50d;重度营养不良5例,中度营养不良9例,Veress针穿刺入腹建立气腹,压力为8～10mmHg,通过5.5mm戳卡放入腹不良9例;低钾血症16例,低钠血症25例。气管插管全麻下,脐上尖刀戳开腔镜,两侧肋缘下腋中线置3.5mm戳卡,放入操作器械施行腹腔镜幽门环形肌切开术。结果 32例患儿手术后均未出现大量呕吐、无发热、腹痛及切口红肿裂开等并发症,术后8～12h拔除胃管,进食水,术后2d出院。结论腹腔镜下幽门环形肌切开术是治疗CHPS的理想方法,切口美观创伤小,患儿术后患儿恢复较快,可以缩短住院天数和减少住院费用。
Objective To summarize the clinical experience of laparoscopic pyloromyotomy in the treatment of children with congenital hypertrophic pyloric stenosis （CHPS）. Methods 32 cases of congenital hypertrophic pyloric stenosis from January, 2010 to March, 2013 treated by laparoscopic pyloromyotomy, were retrospectively analyzed. 26 cases were male and 6 were female, with age ranging from 19 to 50 days old. Among total cases, 5 cases had severe malnutrition, 9 cases had moderate malnutrition, 16 cases with hypokalemia and 25 cases with hyponatremia. The procedure was performed on general anesthesia with tracheal intubation. Carbon dioxide was insufflated into abdominal cavity via a Veress needle, reaching an inwater. They were discharged 2 days after the surgery. Conclusion Laparoscopic pyloromyotomy is an ide al and safe method to treat CHPS compared to the traditional operation. Laparoscopic pyloromyotomy has the advantages of good eosmetie outcome, small incision and faster postoperative patient recovery. Furthermore, it can shorten the hospitalization clays and hospitalization costs.
出处
《新疆医科大学学报》
CAS
2013年第6期825-827,共3页
Journal of Xinjiang Medical University
基金
乌鲁木齐市科技局应用开发研究项目(Y121310013)
关键词
腹腔镜
幽门狭窄
手术
laparoscopic
pyloric stenosis~ operation
