本文選題：腸旋轉(zhuǎn)不良 + 腹腔鏡��； 參考：《中國微創(chuàng)外科雜志》2017年11期

【摘要】：目的比較腹腔鏡與開腹手術(shù)治療新生兒先天性腸旋轉(zhuǎn)不良的療效。方法回顧性分析2011年1月~2015年12月我院手術(shù)治療200例新生兒先天性腸旋轉(zhuǎn)不良的臨床資料。2012年11月~2015年12月98例行腹腔鏡手術(shù)(腹腔鏡組),2011年1月~2012年10月102例行開腹手術(shù)(開腹組)。比較2組手術(shù)時間、術(shù)后開奶時間、住院時間、術(shù)后并發(fā)癥和治愈率等。結(jié)果腹腔鏡組3例因腸系膜血管損傷中轉(zhuǎn)開腹止血。腹腔鏡組手術(shù)時間(58.2±19.2)min,明顯長于開腹組(45.0±9.0)min(t=6.049,P=0.000),但術(shù)后開奶時間(2.3±0.8)d,明顯早于開腹組(4.2±1.2)d(t=-12.571,P=0.000),住院時間(11.2±2.1)d,明顯短于開腹組(13.7±2.7)d(t=-7.200,P=0.000)。2組術(shù)后切口裂開[0 vs.4.9%(5/102),Fisher精確檢驗,P=0.060]、切口疝[0 vs.3.9%(4/102),Fisher精確檢驗,P=0.122]、腸扭轉(zhuǎn)復(fù)發(fā)[2.0%(2/98)vs.1.0%(1/102),χ~2=0.001,P=0.972]、粘連性腸梗阻[7.1%(7/98)vs.7.8%(8/102),χ~2=0.035,P=0.851]、闌尾殘端漏[1.0%(1/98)vs.1.0%(1/102),χ~2=0.001,P=0.977]、再手術(shù)[7.1%(7/98)vs.5.9%(6/102),χ~2=0.131,P=0.718]和治愈率[100.0%(98/98)vs.99.0%(101/102),Fisher精確檢驗,P=1.000]均無統(tǒng)計學(xué)差異。結(jié)論腹腔鏡手術(shù)治療新生兒先天性腸旋轉(zhuǎn)不良切口小、美觀,術(shù)后恢復(fù)快,但術(shù)中要警惕損傷腸系膜血管和腸管。
[Abstract]:Objective to compare the efficacy of laparoscopy and laparotomy in the treatment of congenital intestinal malrotation in neonates. Methods the clinical data of 200 neonates with congenital intestinal malrotation from January 2011 to December 2015 were retrospectively analyzed. From November 2012 to December 2015, 98 cases underwent laparoscopic surgery (laparoscopic group) and 102 cases from January 2011 to October 2012. Open operation (open group). The time of operation, the time of milk opening, the time of hospitalization, the postoperative complications and the cure rate were compared between the two groups. Results in the laparoscopic group, 3 cases were converted to open operation for hemostasis due to mesenteric vascular injury. 鑵硅厰闀滅粍鎵嬫湳鏃墮棿(58.2鹵19.2)min,鏄庢樉闀夸簬寮，

本文編號：2071904