论文部分内容阅读
目的探讨腹腔镜技术在新生儿先天性肠闭锁诊治中的应用价值。方法 17例无明显腹胀的空回肠闭锁患儿采用腹腔镜辅助下手术治疗。结果本组17例手术过程顺利,确诊空肠闭锁8例、回肠闭锁9例,合并美克尔憩室、肠气囊肿各1例,术中将闭锁肠管盲端及美克尔憩室、肠气囊肿一并切除;术后常规全静脉营养5～7d,术后5d始经口喂养并逐渐增加喂哺量;术后随访6个月,仅1例小肠长度约70cm患儿因腹泻、体质量不增而再次行肠外及肠内营养治疗,余16例生长发育正常。结论应用腹腔镜技术诊治先天性肠闭锁可有效避免腹部长切口,并可防止术中肠管不必要暴露和损伤,能及时发现腹腔内合并畸形,适用于无明显腹胀的先天性肠闭锁患儿的诊断与治疗。
Objective To investigate the value of laparoscopy in the diagnosis and treatment of congenital intestinal atresia. Methods 17 cases of patients without obvious ileus and ileum atresia were treated with laparoscopic assisted surgery. Results The operation of 17 cases in this group was successful. There were 8 confirmed jejunal atresia, 9 ileum atresia and 1 mesenteric diverticulum with enteric cyst. The patients underwent closed laparotomy of the intestine and Meckel’s diverticula And routine resection of the whole vein nutrition 5 ~ 7d, 5d after the beginning of oral feeding and gradually increase the amount of feeding; after 6 months of follow-up, only 1 case of small bowel about 70cm in children with diarrhea, body mass does not increase And again for parenteral and enteral nutrition treatment, more than 16 cases of normal growth and development. Conclusions Laparoscopic diagnosis and treatment of congenital intestinal atresia can effectively avoid the long incision in the abdomen and prevent the unnecessary exposure and injury of the intestine during operation. It can detect intra-abdominal combined deformity in time and is suitable for children with congenital intestinal atresia without obvious bloating. Diagnosis and treatment.