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目的回顾性分析小儿先天性肠旋转不良腹腔镜Ladd’s与传统开腹手术治疗的治疗效果,探讨腹腔镜Ladd’s手术与传统开腹手术比较的优势。方法选取临床工作中患先天性肠旋转不良患儿41例,其中男性24例,女性17例;年龄2个月~6岁7个月,平均年龄4岁3个月。经腹腔镜手术治疗病例18例,经传统开腹手术治疗的病例23例。比较其手术时间、术后排气时间、排便时间、进食时间、有无体温升高等指标。结果经腹腔镜治疗的病例恢复顺利,各项观察指标均优于开腹手术患儿。结论腹腔镜治疗肠旋转不良术中、术后效果确切,可广泛应用于临床。
Objective To retrospectively analyze the therapeutic effect of laparoscopic Ladd’s treatment in children with congenital intestinal dysplasia and traditional laparotomy to explore the advantages of laparoscopic Ladd’s surgery compared with traditional laparotomy. Methods Totally 41 children with congenital dysplasia of intestine were enrolled in this study. There were 24 males and 17 females, ranging in age from 2 months to 6 years and 7 months with an average age of 4 years and 3 months. Laparoscopic surgery in 18 cases, the traditional open surgery in 23 cases. Compare the operation time, postoperative exhaust time, defecation time, eating time, with or without body temperature and other indicators. Results The cases treated by laparoscopy recovered smoothly and all the indexes were superior to those in open surgery. Conclusion laparoscopic treatment of bowel dysplasia surgery, postoperative effect is exact, can be widely used in clinical.