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经脐腹腔镜辅助诊疗小儿小肠型肠套叠
杨虎,游娟*,黄茂华,段栩飞,杨俊,卞红强
0
(武汉市妇女儿童医疗保健中心普外科, 武汉 430016
*通信作者)
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:
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