摘要
目的：总结微型腹腔镜手术治疗新生儿时期先天性肥厚性幽门狭窄的临床特点及手术经验。方法：回顾分析2003年12月至2013年8月应用微型腹腔镜手术治疗485例新生儿期先天性肥厚性幽门狭窄的临床资料，其中男406例（83．71％），女79例（16．29％），患儿均出生28d内。结果：485例均成功完成腹腔镜下幽门环肌切开术，无切口疝、术后复发、肠粘连肠梗阻等并发症发生。手术时间平均（20±5）min，术中出血量极少，为1—2ml；术后24h少量饮水母乳喂养，术后4～5d出院。术后1个月、3个月、半年随访，体重较前明显增长，营养状况较前改善。结论：新生儿的生理特点及腹腔具有特殊性，腹腔容量小，体温调节中枢发育不完善，术者应具有娴熟的腹腔镜操作技巧，术中仔细操作。
Objective： To sum up the clinical features and operation experience of mini-laparoscopic treatment of neonatal con- genital hypertrophic pylorie stenosis （CHPS）. Methods：The clinical data of 485 CHPS patients who underwent mini-laparoscopie oper- ation from Dec. 2003 to Aug. 2013 were retrospectively analyzed, including 406 male cases （ 83. 71% ） and 79 female cases （16.29%）. All patients were born within 28 days. Results：All 485 cases were successfully performed laparoscopic pyloromyotomy. No postoperative complications such as incisional hernia, postoperative recurrence or adhesive intestinal obstruction occurred. The mean op- eration time was （20 ＋ 5 ） rain, and there was little blood loss （ 1-2 ml） during operation. Patients began to drink a little water and breast milk after 24 h and were discharged at the 4th or 5th day after surgery. Following up 1,3 and 6 months, the patients＇ weight obvi- ously increased and their nutritional status improved. Conclusions：Newborns have particularity in the physiological characteristics and abdominal cavity, which is small in volume. The development of their thermoregulatory center is imperfect as well. The operator should have skilled laparoscopic techniques and operate carefully.
出处
《腹腔镜外科杂志》
2014年第2期119-121,共3页
Journal of Laparoscopic Surgery
关键词
幽门狭窄
肥厚性
腹腔镜检查
婴儿
新生
Pyloric stenosis, hypertrophic
Laparoscopy
Infant, newborn
