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儿童急性肠道阻塞:腹腔镜治疗和开放手术的比较
Wei Wu1, Kezhe Tan1, Lulu Zheng1
1Department of General Surgery, Shanghai Children's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Frontiers in pediatrics
|January 28, 2026
概括
儿科急性小肠阻塞 (SBO) 的腹腔镜手术导致住院时间缩短,恢复速度更快. 这种微创手术方法是安全有效的,并发症率与开放手术相当.
科学领域:
- 儿科手术 儿科手术
- 胃肠道手术 胃肠道手术
- 最少侵入性的手术
背景情况:
- 急性小肠阻塞 (SBO) 是儿童常见的手术紧急情况.
- 传统的SBO开放性手术可能需要很长的恢复时间和潜在的并发症.
研究的目的:
- 评估腹腔镜手术对儿科患者急性SBO的开放手术的临床疗效.
- 为了比较术后的结果,包括住院时间,禁食时间和并发症率.
主要方法:
- 在2014年6月至2023年12月期间接受急性SBO治疗的80名儿童的回顾性研究.
- 患者被分为腹腔镜手术 (n=40) 和开放手术 (n=40) 组.
- 使用适当的统计测试 (奇平方,费舍尔的确切,t测试,曼-惠特尼U) 分析了外科手术期间的变量.
主要成果:
- laparoscopic 手术导致显著缩短住院时间 (中位数为 7.0 与 9.5 天) 和减少术后禁食时间 (中位数为 4.0 与 5.0 天).
- 在27.5%的腹腔镜病例中,需要转换为开放性手术.
- 腹腔镜组的住院费用较低,两种手术方法之间的并发症率相似.
结论:
- 腹腔镜手术是儿童急性SBO的安全和有效治疗方法.
- 它在更快的患者康复和减少住院时间方面提供了优势,而不会影响安全.
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