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目的比较经脐部弧形切口与右上腹横切口对先天性肥厚性幽门狭窄的治疗效果。方法 74例先天性肥厚性幽门狭窄患儿,按治疗方法不同分为观察组(36例)和对照组(38例)。两组患儿均施行Fredet-Ramstedt幽门环肌切开术,观察组经脐部弧形切口手术治疗,对照组经右上腹横切口手术治疗,对两组患儿临床疗效进行对比。结果两组手术时间、黏膜破裂、浆膜撕裂、切口感染比较差异无统计学意义(P>0.05)。两组患儿均痊愈出院,术后无死亡或严重并发症。术后随访6~12个月,观察组瘢痕愈合良好患者94.44%(34/36),明显优于对照组的73.68%(28/38),差异有统计学意义(P<0.05)。结论经脐部弧形切口行幽门环肌切开术,切口愈合好,而且瘢痕不明显,美容效果良好,值得临床推广使用。
Objective To compare the curative effect of congenital hypertrophic pyloric stenosis by the umbilicus arc incision and transverse incision of the right upper quadrant. Methods 74 cases of congenital hypertrophic pyloric stenosis were divided into observation group (36 cases) and control group (38 cases) according to different treatment methods. Two groups of children were performed Fredet-Ramstedt pyloric ring incision, the observation group by umbilical incision arc surgery, the control group by the right upper quadrant transverse incision surgery, the clinical efficacy of the two groups were compared. Results There was no significant difference in operative time, rupture of mucosa, serosa tear and incision infection between the two groups (P> 0.05). Two groups of children were cured and discharged, no death or serious complications after surgery. The patients were followed up for 6 ~ 12 months. The patients in the observation group had 94.44% (34/36) patients with good scar healing, which was significantly better than that in the control group (73.68%, 28/38). The difference was statistically significant (P <0.05). Conclusions The umbilical curved incision pyloric ring muscle incision, incision healed well, and the scar is not obvious, the cosmetic effect is good, worthy of clinical promotion and use.