| 摘要: |
| 目的 探讨腹腔镜诊断治疗小儿小肠型肠套叠的可行性。方法 总结分析2011年1月至2014年6月用腹腔镜诊断治疗15例怀疑小肠型肠套叠的临床资料。其中证实有11例为器质性病变引起的小肠型肠套叠（7例美克尔憩室、3例Peutz-Jegher综合征、1例炎性肌纤维母细胞瘤），3例为原发性小肠型肠套叠，另外1例术中证实不是肠套叠，而是蛔虫性肠梗阻；手术在腹腔镜辅助下行肠套叠手法整复或病变肠管切除肠吻合术，其中蛔虫性肠梗阻中转开腹。结果 14例腹腔镜手术治疗小肠型肠套叠手术时间35～82min，平均（42.58±16.69）min，术后胃肠道功能恢复良好，7天治愈出院，随访1～6月，无并发症。结论：腹腔镜探查是诊断治疗怀疑小儿小肠型肠套叠安全，可行，有效的方法之一。 |
| 关键词: 肠套叠 腹腔镜检查 外科手术 儿童 |
| DOI：10.3724/SP.J.1008.2015.00805 |
| 投稿时间：2014-07-05修订日期：2015-02-11 |
| 基金项目: |
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| Laparoscopic diagnosis and treatment of enteric intussusception in children |
| YANG Hu,YOU Juan*,HUANG Mao-hua,DUAN Xu-fei,YANG Jun,BIAN Hong-qiang |
(Department of General Surgery, Wuhan Medical & Health Center For Women and Children, Wuhan 430016, Hubei, China
*Corresponding author) |
| Abstract: |
| Objective : To assess the feasibility of laparoscopic diagnosis and treatment of enteric intussusception in children. Methods :The clinical data of 15 laparoscopic-assisted diagnosis and treatment suspected enteric intussusception was analyzed from January 2011 to June 2014 . Which were confirmed 11 cases of organic disease (7 cases of Meckel's diverticulum, 3 cases of Peutz-Jegher syndrome, one case of inflammatory myofibroblastic tumor), 3 cases of primary enteric intussusception, The last case was the Ascaris ileus; laparoscopic-assisted intestine reposition or partial resection and anastomosis of intestine were successfully treated, and Ascaris ileus was open surgery. Results: 14 cases of laparoscopic surgery for enteric intussusception were successfully treated . The operation time was 35 to 82 min, (42.58 ± 16.69min) , the mean hospital was 7 days , they recovered well and were followed up for 1 to 6 months. Conclusions : Laparoscopic-assisted diagnosis and treatment of enteric intussusception is an effective approach. |
| Key words: intussusception laparoscopy surgical procedures child |
