【摘要】 目的 總結(jié)腹腔鏡對(duì)小兒美克爾憩室的臨床診斷和應(yīng)用價(jià)值。 方法 2005年4月-2009年12月，將41例行美克爾憩室切除術(shù)患兒隨機(jī)分為兩孔法腹腔鏡手術(shù)組和傳統(tǒng)手術(shù)組，就手術(shù)治療、術(shù)后并發(fā)癥、術(shù)后效果等臨床資料進(jìn)行對(duì)比分析。 結(jié)果 腹腔鏡手術(shù)組患兒手術(shù)時(shí)間、術(shù)中出血量、下床活動(dòng)時(shí)間、住院時(shí)間等均優(yōu)于傳統(tǒng)手術(shù)組；術(shù)后并發(fā)癥發(fā)生例數(shù)均明顯少于傳統(tǒng)手術(shù)組。 結(jié)論 腹腔鏡對(duì)患兒美克爾憩室的診斷和治療具有明顯優(yōu)越性，可作為小兒美克爾憩室治療的首選方式。
【Abstract】 Objective To investigate the diagnostic and applicative value of laparoscopy for Meckel’s diverticulum in children. Methods The clinical data of 41 children with Meckel’s diverticulum who underwent resection between April 2005 to December 2009 were retrospectively analyzed. The patients were divided into tow-port laparoscopy-assisted resection group (group A,19 patients) and traditional resection group (group B, 22 patients). The intra-operative accidental injury, postoperative complications, postoperative general condition and prognosis were evaluated via randomized contrast analysis. Results The time of operation, amount of bleeding, recover intestinal peristalsis,out-of-bed activities time and the average days in hospital in group A were less than those in group B. The postoperative complications occurred in one and eight patients in group A and B respectively. Conclusion Laparoscopy had obvious superiority for the children’s Meckel’ s diverticulum in diagnosis and treatment,which should be the best choice.
引用本文： 熊偉,董科,俞小炯. 腹腔鏡在小兒美克爾憩室切除術(shù)中的應(yīng)用. 華西醫(yī)學(xué), 2011, 26(2): 210-211. doi: 復(fù)制
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| 2. | 李培, 梁家強(qiáng). 腹腔鏡在外科急腹癥中的應(yīng)用體會(huì)[J]. 微創(chuàng)醫(yī)學(xué), 2009, 4 (5): 574-575. |
| 3. | 李正, 王慧貞, 吉士俊. 實(shí)用小兒外科學(xué)[M]. 北京: 人民衛(wèi)生出版社, 2001: 717-723. |
| 4. | Swaniker F, Soldes O, Hirchl RB. The utility of technetium 99m pertechnetate Scintigrap in the evaluation of patients with Meckel’s diverticulum[J]. J Pediatr Surg, 1999, 34(5): 760-765. |
| 5. | Lobe TE, The role of laparoscopy[J]. Sem in Pediatr Surg, 1997, 6(2): 81-87. |
| 6. | 姜斌, 劉繼炎, 易軍, 等. 二孔法腹腔鏡輔助下切除小兒美克爾憩室(附15例報(bào)告)[J]. 海南醫(yī)學(xué), 2005, 16(11): 30-31. |
| 7. | 周欣, 卞紅強(qiáng), 黃茂華, 等. 腹腔鏡診治小兒美克爾憩室的臨床價(jià)值[J]. 腹腔鏡外科雜志, 2003, 8(2): 114-115. |
| 8. | Chan KW, Lee KH, Mou JW, et al . Laparoscopic management of complicated Meckel＇s diverticulum in children: a 10-year review[J]. Surg Endosc, 2008, 22(6): 1509-1512. |
| 9. | 靳曙光, 高明太. 腹腔鏡輔助Meckel憩室切除術(shù)[J]. 腹腔鏡外科雜志, 2009, 14(1): 57-58. |
| 10. | Shalaby RY, Soliman SM, Fawy M, et al. Laparoscopic-management of Meckel’s diverticulum in children[J]. Pediatr Surg, 2005, 40(3): 562-567. |
- 1. 佘亞雄. 小兒外科學(xué)[M]. 北京: 人民衛(wèi)生出版社, 1995: 136-137.
- 2. 李培, 梁家強(qiáng). 腹腔鏡在外科急腹癥中的應(yīng)用體會(huì)[J]. 微創(chuàng)醫(yī)學(xué), 2009, 4 (5): 574-575.
- 3. 李正, 王慧貞, 吉士俊. 實(shí)用小兒外科學(xué)[M]. 北京: 人民衛(wèi)生出版社, 2001: 717-723.
- 4. Swaniker F, Soldes O, Hirchl RB. The utility of technetium 99m pertechnetate Scintigrap in the evaluation of patients with Meckel’s diverticulum[J]. J Pediatr Surg, 1999, 34(5): 760-765.
- 5. Lobe TE, The role of laparoscopy[J]. Sem in Pediatr Surg, 1997, 6(2): 81-87.
- 6. 姜斌, 劉繼炎, 易軍, 等. 二孔法腹腔鏡輔助下切除小兒美克爾憩室(附15例報(bào)告)[J]. 海南醫(yī)學(xué), 2005, 16(11): 30-31.
- 7. 周欣, 卞紅強(qiáng), 黃茂華, 等. 腹腔鏡診治小兒美克爾憩室的臨床價(jià)值[J]. 腹腔鏡外科雜志, 2003, 8(2): 114-115.
- 8. Chan KW, Lee KH, Mou JW, et al . Laparoscopic management of complicated Meckel＇s diverticulum in children: a 10-year review[J]. Surg Endosc, 2008, 22(6): 1509-1512.
- 9. 靳曙光, 高明太. 腹腔鏡輔助Meckel憩室切除術(shù)[J]. 腹腔鏡外科雜志, 2009, 14(1): 57-58.
- 10. Shalaby RY, Soliman SM, Fawy M, et al. Laparoscopic-management of Meckel’s diverticulum in children[J]. Pediatr Surg, 2005, 40(3): 562-567.