腹腔镜在小儿美克尔憩室切除术中的应用

【】　目的　总结腹腔镜对小儿美克尔憩室的临床诊断和应用价值。　方法　2005年4月-2009年12月，将41例行美克尔憩室切除术患儿随机分为两孔法腹腔镜手术组和传统手术组，就手术治疗、术后并发症、术后效果等临床资料进行对比分析。　结果　腹腔镜手术组患儿手术时间、术中出血量、下床活动时间、住院时间等均优于传统手术组；术后并发症发生例数均明显少于传统手术组。　结论　腹腔镜对患儿美克尔憩室的诊断和治疗具有明显优越性，可作为小儿美克尔憩室治疗的首选方式。？【Abstract】　Objective　ToinvestigatethediagnosticandapplicativevalueoflaparoscopyforMeckel’sdiverticuluminchildren.　Methods　Theclinicaldataof41childrenwithMeckel’sdiverticulumwhounderwentresectionbetweenApril2005toDecember2009wereretrospectivelyanalyzed.Thepatientsweredividedintotow-portlaparoscopy-assistedresectiongroup(groupA,19patients)andtraditionalresectiongroup(groupB,22patients).Theintra-operativeaccidentalinjury,postoperativecomplications,postoperativegeneralconditionandprognosiswereevaluatedviarandomizedcontrastanalysis.　Results　Thetimeofoperation,amountofbleeding,recoverintestinalperistalsis,out-of-bedactivitiestimeandtheaveragedaysinhospitalingroupAwerelessthanthoseingroupB.ThepostoperativecomplicationsoccurredinoneandeightpatientsingroupAandBrespectively.　Conclusion　Laparoscopyhadobvioussuperiorityforthechildren’sMeckel’sdiverticulumindiagnosisandtreatment,whichshouldbethebestchoice.