腹腔镜手术治疗难复性小儿肠套叠10例体会

中华养生保健 ›› 2023, Vol. 41 ›› Issue (11): 170-172.

腹腔镜手术治疗难复性小儿肠套叠10例体会

王绘楠, 李东升^*, 汤劲松

江苏省苏北人民医院（扬州大学临床医学院）疝儿外科,江苏扬州,225001

出版日期:2023-06-01 发布日期:2023-05-25
通讯作者: ^*李东升,E-mail:lidsh11@126.com。
作者简介:王绘楠（1990—）,女,汉族,籍贯：安徽省阜阳市,硕士研究生,主治医师,研究方向：小儿外及疝和腹壁外科。
基金资助:
江苏省苏北人民医院新技术项目（fcjs201721）

The Experience of Laparoscopic Surgery for Irreducible Infantile Intussusception in 10 Cases

WANG Hui-nan, LI Dong-sheng^*, TANG Jing-song

Department of Hernia and Pediatric Surgery, Northern Jiangsu People's Hospital(Affiliated Hospital to Yangzhou University of Clinical Medical School),Yangzhou Jiangsu 225001, China

Online:2023-06-01 Published:2023-05-25

摘要/Abstract

摘要： 目的总结腹腔镜手术治疗空气灌肠复位失败小儿肠套叠的经验。方法回顾性分析2018年6月—2019年3月江苏省苏北人民医院收治10例难复性小儿肠套叠患者的临床资料,探讨腹腔镜手术治疗空气灌肠复位失败难复性小儿肠套叠的可行性。结果 10例空气灌肠复位失败小儿肠套叠均行腹腔镜下肠套叠复位术,9例在腔镜下复位成功,1例因合并小肠息肉致回肠-回肠-结肠型肠套叠复位失败、另1例扩大脐部切口切除憩室肠修补。结论腹腔镜下小儿肠套叠复位手术安全可靠,同时具有腹腔镜微创外科手术的优点。

关键词: 小儿肠套叠, 腹腔镜, 微创外科

Abstract: Objective To summarize the experience of laparoscopic surgery in the treatment of intussusception in children with failure of air enema reduction. Methods The clinical data of 10 pediatric intussusception patients admitted to Northern Jiangsu People's Hospital from June 2018 to March 2019 were retrospectively analyzed, and the feasibility of laparoscopic surgery for pediatric intussusception after failure of air enema reduction was discussed. Results All the 10 cases of intussusception failed to be reduced by air enema were treated with laparoscopic intussusception reduction. Nine cases were successfully reduced by endoscopic intussusception, one case failed to be reduced by recurrent knot intussusception due to intestinal polyps, and the other case was repaired by expanding umbilical incision to remove diverticulum. Conclusion Laparoscopic reduction of intussusception in children is safe and reliable, and has the advantages of laparoscopic minimally invasive surgery.

Key words: infantile intussusception, laparoscope, minimally invasive surgery

中图分类号:

R726.1

王绘楠, 李东升, 汤劲松. 腹腔镜手术治疗难复性小儿肠套叠10例体会[J]. 中华养生保健, 2023, 41(11): 170-172.

WANG Hui-nan, LI Dong-sheng, TANG Jing-song. The Experience of Laparoscopic Surgery for Irreducible Infantile Intussusception in 10 Cases[J]. ZHONGHUA YANGSHENG BAOJIAN, 2023, 41(11): 170-172.

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